{ "reporting_entity_name": "Connecticare_CCI_COM", "reporting_entity_type": "Health Insurance Issuer", "last_updated_on": "2026-06-22", "version": "1.0.0", "provider_references": [ { "provider_group_id": 1696861026, "provider_groups": [ { "npi": [ 1538276530 ], "tin": { "type": "ein", "value": "146013200" } }, { "npi": [ 1063525442 ], "tin": { "type": "ein", "value": "146013200" } }, { "npi": [ 1235142472 ], "tin": { "type": "ein", "value": "146013200" } } ] } ], "in_network": [ { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Rental", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0291", "description": "Durable Medical Equipment - Rental", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Rental", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0291", "description": "Durable Medical Equipment - Rental", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Other Supplies/Devices", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0279", "description": "Medical/Surgical Supplies and Devices - Other Supplies/Devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood Storage & Processing - Other Blood Storage & Processing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0399", "description": "Blood Storage & Processing - Other Blood Storage & Processing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0442", "description": "Speech-Language Pathology - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved for National Assignment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0909", "description": "Reserved for National Assignment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved for National Assignment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0909", "description": "Reserved for National Assignment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Other special residence charges", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0679", "description": "Outpatient Special Residence Charge - Other special residence charges", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Other special residence charges", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0679", "description": "Outpatient Special Residence Charge - Other special residence charges", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - OB", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0122", "description": "Room & Board - Semi-Private Two Bed - OB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - Newborn Level 1", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0171", "description": "Nursery - Newborn Level 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0118", "description": "Room & Board - Private - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - OB", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0112", "description": "Room & Board - Private - OB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Units of Service (Home Health) - Home Health Other Units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0599", "description": "Units of Service (Home Health) - Home Health Other Units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Units of Service (Home Health) - Home Health Other Units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0599", "description": "Units of Service (Home Health) - Home Health Other Units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0154", "description": "Room & Board Ward - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services - Ultrasound", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0402", "description": "Other Imaging Services - Ultrasound", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services-Trng, Patient/Caregiver, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0647", "description": "Home IV Therapy Services-Trng, Patient/Caregiver, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services-Trng, Patient/Caregiver, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0647", "description": "Home IV Therapy Services-Trng, Patient/Caregiver, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0128", "description": "Room & Board - Semi-Private Two Bed - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Room & Board - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0169", "description": "Other Room & Board - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Other Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0819", "description": "Acquisition of Body Components-Other Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Audiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0470", "description": "Audiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services - Other Imaging Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0409", "description": "Other Imaging Services - Other Imaging Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Other Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0819", "description": "Acquisition of Body Components-Other Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Miscellaneous Dialysis - Home Dialysis Aid Visit", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0882", "description": "Miscellaneous Dialysis - Home Dialysis Aid Visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Leukocytes", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0385", "description": "Blood - Leukocytes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Miscellaneous Dialysis - Home Dialysis Aid Visit", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0882", "description": "Miscellaneous Dialysis - Home Dialysis Aid Visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0635", "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0110", "description": "Room & Board - Private", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services - Positron Emission Tomography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0404", "description": "Other Imaging Services - Positron Emission Tomography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Donor - Liver", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0817", "description": "Acquisition of Body Components-Donor - Liver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Donor - Liver", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0817", "description": "Acquisition of Body Components-Donor - Liver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0551", "description": "Skilled Nursing - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Other Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0559", "description": "Skilled Nursing - Other Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0551", "description": "Skilled Nursing - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Physical Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0977", "description": "Professional Fees - Physical Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Other Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0559", "description": "Skilled Nursing - Other Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Telephone/Telegraph", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0993", "description": "Patient Convenience Items - Telephone/Telegraph", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Emergency Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0981", "description": "Professional Fees - Emergency Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Emergency Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0981", "description": "Professional Fees - Emergency Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Physical Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0977", "description": "Professional Fees - Physical Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Telephone/Telegraph", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0993", "description": "Patient Convenience Items - Telephone/Telegraph", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Renal Patient (Home)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0303", "description": "Laboratory - Renal Patient (Home)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Medical Transport", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0542", "description": "Ambulance - Medical Transport", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Medical Transport", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0542", "description": "Ambulance - Medical Transport", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment-Supplies/Drugs for DME Effectiveness", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0294", "description": "Durable Medical Equipment-Supplies/Drugs for DME Effectiveness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment-Supplies/Drugs for DME Effectiveness", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0294", "description": "Durable Medical Equipment-Supplies/Drugs for DME Effectiveness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0113", "description": "Room & Board - Private - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Consultation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0988", "description": "Professional Fees - Consultation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Consultation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0988", "description": "Professional Fees - Consultation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0133", "description": "Semi-Private - Three & Four Beds - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Bacteriology & Microbiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0306", "description": "Laboratory - Bacteriology & Microbiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Non Sterile Supply", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0271", "description": "Medical/Surgical Supplies and Devices - Non Sterile Supply", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0140", "description": "Private (Deluxe)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Other Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0299", "description": "Durable Medical Equipment - Other Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Other Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0299", "description": "Durable Medical Equipment - Other Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0580", "description": "Other Visits (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0580", "description": "Other Visits (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0570", "description": "Home Health Aide (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0570", "description": "Home Health Aide (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Non-Routine Dialysis", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0304", "description": "Laboratory - Non-Routine Dialysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0653", "description": "Reserved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0653", "description": "Reserved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0329", "description": "Radiology - Diagnostic - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0541", "description": "Ambulance - Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care (HHA only)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0660", "description": "Respite Care (HHA only)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care (HHA only)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0660", "description": "Respite Care (HHA only)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0541", "description": "Ambulance - Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0143", "description": "Private (Deluxe) - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0179", "description": "Nursery - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0349", "description": "Nuclear Medicine - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Beauty Shop/Barber", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0998", "description": "Patient Convenience Items - Beauty Shop/Barber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Non-Prescription", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0257", "description": "Pharmacy - Non-Prescription", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0654", "description": "Reserved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0654", "description": "Reserved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Beauty Shop/Barber", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0998", "description": "Patient Convenience Items - Beauty Shop/Barber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Other Laboratory", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0309", "description": "Laboratory - Other Laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastro Intestinal Services - Other Gastro-Intestinal", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0759", "description": "Gastro Intestinal Services - Other Gastro-Intestinal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Oncology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0117", "description": "Room & Board - Private - Oncology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - IV Solutions", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0258", "description": "Pharmacy - IV Solutions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0854", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leave of Absence - Hospitalization", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0185", "description": "Leave of Absence - Hospitalization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Audiology - Other Audiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0479", "description": "Audiology - Other Audiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic - Angiocardiography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0321", "description": "Radiology - Diagnostic - Angiocardiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0854", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Maintenance 100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory Surgical Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0490", "description": "Ambulatory Surgical Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Platelets", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0384", "description": "Blood - Platelets", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Hematology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0305", "description": "Laboratory - Hematology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Community Behavioral Helath Program (Day Treatment)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0907", "description": "Community Behavioral Helath Program (Day Treatment)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Community Behavioral Helath Program (Day Treatment)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0907", "description": "Community Behavioral Helath Program (Day Treatment)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Contracted", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0672", "description": "Outpatient Special Residence Charge - Contracted", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Contracted", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0672", "description": "Outpatient Special Residence Charge - Contracted", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - EKG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0985", "description": "Professional Fees - EKG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Surgical", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0201", "description": "Intensive Care - Surgical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - EKG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0985", "description": "Professional Fees - EKG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Maintenance/100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0834", "description": "Peritoneal Dialysis - Outpatient or Home - Maintenance/100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care (HHA only) - Hourly Charge/Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0661", "description": "Respite Care (HHA only) - Hourly Charge/Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Maintenance/100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0834", "description": "Peritoneal Dialysis - Outpatient or Home - Maintenance/100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care (HHA only) - Hourly Charge/Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0661", "description": "Respite Care (HHA only) - Hourly Charge/Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services - Osteopathic Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0531", "description": "Osteopathic Services - Osteopathic Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services - Osteopathic Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0531", "description": "Osteopathic Services - Osteopathic Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Other Blood", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0389", "description": "Blood - Other Blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Other Home Health Visits", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0589", "description": "Other Visits (Home Health) - Other Home Health Visits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Other Home Health Visits", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0589", "description": "Other Visits (Home Health) - Other Home Health Visits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0170", "description": "Nursery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG (Electroencephalogram)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0740", "description": "EEG (Electroencephalogram)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Anesthesiologist (MD)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0963", "description": "Professional Fees - Anesthesiologist (MD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Anesthesiologist (MD)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0963", "description": "Professional Fees - Anesthesiologist (MD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Physician Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0657", "description": "Hospice Service - Physician Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services - Diagnostic Mammography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0401", "description": "Other Imaging Services - Diagnostic Mammography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Physician Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0657", "description": "Hospice Service - Physician Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Detoxification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0136", "description": "Semi-Private - Three & Four Beds - Detoxification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0139", "description": "Semi-Private - Three & Four Beds - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRA - Lower Extremeties", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0616", "description": "MRA - Lower Extremeties", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care - Heart Transplant", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0213", "description": "Coronary Care - Heart Transplant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0640", "description": "Home IV Therapy Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0640", "description": "Home IV Therapy Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0634", "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Room & Board - Self Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0167", "description": "Other Room & Board - Self Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Trng Patient/Caregiver, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0645", "description": "Home IV Therapy Services - Trng Patient/Caregiver, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0115", "description": "Room & Board - Private - Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0540", "description": "Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Trng Patient/Caregiver, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0645", "description": "Home IV Therapy Services - Trng Patient/Caregiver, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0540", "description": "Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Electromyelogram", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0922", "description": "Other Diagnostic Services - Electromyelogram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leave of Absence - Patient Convenience", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0182", "description": "Leave of Absence - Patient Convenience", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Other Diagnostic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0929", "description": "Other Diagnostic Services - Other Diagnostic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic - Chest X-Ray", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0324", "description": "Radiology - Diagnostic - Chest X-Ray", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI - Spinal Cord (Including Spine)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0612", "description": "MRI - Spinal Cord (Including Spine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen-State/Equip/Suppl/Under 1 LPM", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0602", "description": "Oxygen (Home Health) - Oxygen-State/Equip/Suppl/Under 1 LPM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen-State/Equip/Suppl/Under 1 LPM", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0602", "description": "Oxygen (Home Health) - Oxygen-State/Equip/Suppl/Under 1 LPM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Respiratory Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0976", "description": "Professional Fees - Respiratory Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Respiratory Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0976", "description": "Professional Fees - Respiratory Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood Processing & Storage", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0392", "description": "Blood Processing & Storage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other respite care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0669", "description": "Other respite care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other respite care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0669", "description": "Other respite care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0630", "description": "Drugs Requiring Specific Identification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0630", "description": "Drugs Requiring Specific Identification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Pharmacy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0547", "description": "Ambulance - Pharmacy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0630", "description": "Drugs Requiring Specific Identification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Pharmacy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0547", "description": "Ambulance - Pharmacy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0500", "description": "Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0500", "description": "Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - EEG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0986", "description": "Professional Fees - EEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - EEG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0986", "description": "Professional Fees - EEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic - Arthrography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0322", "description": "Radiology - Diagnostic - Arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory Pathological - Histology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0312", "description": "Laboratory Pathological - Histology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Whole Blood", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0382", "description": "Blood - Whole Blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "All - Inclusive Room and Board", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0101", "description": "All - Inclusive Room and Board", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Partial Hosp. Less Intensive", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0912", "description": "Psychiatric/Psychological Services - Partial Hosp. Less Intensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Partial Hosp. Less Intensive", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0912", "description": "Psychiatric/Psychological Services - Partial Hosp. Less Intensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Services - Other Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0509", "description": "Outpatient Services - Other Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0571", "description": "Home Health Aide (Home Health) - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0571", "description": "Home Health Aide (Home Health) - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Services - Other Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0509", "description": "Outpatient Services - Other Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Clinic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0983", "description": "Professional Fees - Clinic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Clinic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0983", "description": "Professional Fees - Clinic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0852", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT Scan - Body Scan", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0352", "description": "CT Scan - Body Scan", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0920", "description": "Other Diagnostic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0852", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0984", "description": "Professional Fees - Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0984", "description": "Professional Fees - Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Other Implants", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0278", "description": "Medical/Surgical Supplies and Devices - Other Implants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Detoxification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0146", "description": "Private (Deluxe) - Detoxification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Laboratory", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0971", "description": "Professional Fees - Laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Packed Red Cells", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0381", "description": "Blood - Packed Red Cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Laboratory", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0971", "description": "Professional Fees - Laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0290", "description": "Durable Medical Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0290", "description": "Durable Medical Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0138", "description": "Semi-Private - Three & Four Beds - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operating Room Services - Minor Surgery", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0361", "description": "Operating Room Services - Minor Surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Air Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0545", "description": "Ambulance - Air Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Private Linen Service", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0992", "description": "Patient Convenience Items - Private Linen Service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Air Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0545", "description": "Ambulance - Air Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Private Linen Service", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0992", "description": "Patient Convenience Items - Private Linen Service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Alcohol Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0945", "description": "Other Therapeutic Services - Alcohol Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Other Pharmacy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0259", "description": "Pharmacy - Other Pharmacy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Trauma", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0208", "description": "Intensive Care - Trauma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Alcohol Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0945", "description": "Other Therapeutic Services - Alcohol Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Continuous Home Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0652", "description": "Hospice Service - Continuous Home Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Continuous Home Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0652", "description": "Hospice Service - Continuous Home Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Hospital Visit", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0987", "description": "Professional Fees - Hospital Visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Hospital Visit", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0987", "description": "Professional Fees - Hospital Visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-administrable drugs not requiring detailed coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0637", "description": "Self-administrable drugs not requiring detailed coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Family Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0916", "description": "Psychiatric/Psychological Services - Family Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-administrable drugs not requiring detailed coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0637", "description": "Self-administrable drugs not requiring detailed coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-administrable drugs not requiring detailed coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0637", "description": "Self-administrable drugs not requiring detailed coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Family Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0916", "description": "Psychiatric/Psychological Services - Family Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services-Trng, Disabled Patient, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0648", "description": "Home IV Therapy Services-Trng, Disabled Patient, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services-Trng, Disabled Patient, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0648", "description": "Home IV Therapy Services-Trng, Disabled Patient, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0200", "description": "Intensive Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0835", "description": "Peritoneal Dialysis - Outpatient or Home - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0835", "description": "Peritoneal Dialysis - Outpatient or Home - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0274", "description": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leave of Absence", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0180", "description": "Leave of Absence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0380", "description": "Blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory Pathological - Cytology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0311", "description": "Laboratory Pathological - Cytology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Cafeteria/Guest Tray", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0991", "description": "Patient Convenience Items - Cafeteria/Guest Tray", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - OB", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0132", "description": "Semi-Private - Three & Four Beds - OB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Cafeteria/Guest Tray", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0991", "description": "Patient Convenience Items - Cafeteria/Guest Tray", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Intraocular Lens", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0276", "description": "Medical/Surgical Supplies and Devices - Intraocular Lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Telephone Transmission EKG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0548", "description": "Ambulance - Telephone Transmission EKG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRA - Head and Neck", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0615", "description": "MRA - Head and Neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic - Arteriography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0323", "description": "Radiology - Diagnostic - Arteriography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Telephone Transmission EKG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0548", "description": "Ambulance - Telephone Transmission EKG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary Function", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0460", "description": "Pulmonary Function", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Late Discharge Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0996", "description": "Patient Convenience Items - Late Discharge Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Other Derivatives (Cryoprecipitates)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0387", "description": "Blood - Other Derivatives (Cryoprecipitates)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Late Discharge Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0996", "description": "Patient Convenience Items - Late Discharge Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Trng, Disabled Patient, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0646", "description": "Home IV Therapy Services - Trng, Disabled Patient, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Trng, Disabled Patient, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0646", "description": "Home IV Therapy Services - Trng, Disabled Patient, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services - Other Osteopathic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0539", "description": "Osteopathic Services - Other Osteopathic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0120", "description": "Room & Board - Semi-Private Two Bed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Bio Feedback", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0917", "description": "Psychiatric/Psychological Services - Bio Feedback", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Bio Feedback", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0917", "description": "Psychiatric/Psychological Services - Bio Feedback", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services - Other Osteopathic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0539", "description": "Osteopathic Services - Other Osteopathic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Purchase of new DME", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0292", "description": "Durable Medical Equipment - Purchase of new DME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Occupational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0978", "description": "Professional Fees - Occupational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Occupational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0978", "description": "Professional Fees - Occupational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Purchase of new DME", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0292", "description": "Durable Medical Equipment - Purchase of new DME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0919", "description": "Psychiatric/Psychological Services - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Kinesiotherapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0952", "description": "Other Therapeutic Services - Kinesiotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0919", "description": "Psychiatric/Psychological Services - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0572", "description": "Home Health Aide (Home Health) - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Kinesiotherapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0952", "description": "Other Therapeutic Services - Kinesiotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0572", "description": "Home Health Aide (Home Health) - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast Room - Other Cast Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0709", "description": "Cast Room - Other Cast Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast Room - Other Cast Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0709", "description": "Cast Room - Other Cast Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary Function - Other Pulmonary Function", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0469", "description": "Pulmonary Function - Other Pulmonary Function", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - Newborn Level 3", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0173", "description": "Nursery - Newborn Level 3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Complex Medical Equipment - Routine", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0946", "description": "Other Therapeutic Services - Complex Medical Equipment - Routine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Complex Medical Equipment - Routine", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0946", "description": "Other Therapeutic Services - Complex Medical Equipment - Routine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0119", "description": "Room & Board - Private - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Nonroutine Nursing, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0641", "description": "Home IV Therapy Services - Nonroutine Nursing, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Nonroutine Nursing, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0641", "description": "Home IV Therapy Services - Nonroutine Nursing, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0833", "description": "Peritoneal Dialysis - Outpatient or Home - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0833", "description": "Peritoneal Dialysis - Outpatient or Home - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operating Room Services - Other Operating Room Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0369", "description": "Operating Room Services - Other Operating Room Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0145", "description": "Private (Deluxe) - Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Audiology - Treatment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0472", "description": "Audiology - Treatment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Other Home Health Aide", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0579", "description": "Home Health Aide (Home Health) - Other Home Health Aide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home Health Aide (Home Health) - Other Home Health Aide", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0579", "description": "Home Health Aide (Home Health) - Other Home Health Aide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Play Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0903", "description": "Psychiatric/Psychological Treatments - Play Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Play Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0903", "description": "Psychiatric/Psychological Treatments - Play Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0581", "description": "Other Visits (Home Health) - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0581", "description": "Other Visits (Home Health) - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Medical/Surgical/Gyn", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0141", "description": "Private (Deluxe) - Medical/Surgical/Gyn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Other Intensive Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0209", "description": "Intensive Care - Other Intensive Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0842", "description": "Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRA - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0618", "description": "MRA - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT Scan - Head Scan", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0351", "description": "CT Scan - Head Scan", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0842", "description": "Continuous Ambulatory Peritoneal Dialysis (CAPD) - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood Storage & Processing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0390", "description": "Blood Storage & Processing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0430", "description": "Occupational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Complex Medical Equip - Ancillary", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0947", "description": "Other Therapeutic Services - Complex Medical Equip - Ancillary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Complex Medical Equip - Ancillary", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0947", "description": "Other Therapeutic Services - Complex Medical Equip - Ancillary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - Portable Add-on", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0604", "description": "Oxygen (Home Health) - Oxygen - Portable Add-on", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - Portable Add-on", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0604", "description": "Oxygen (Home Health) - Oxygen - Portable Add-on", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology - Echocardiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0483", "description": "Cardiology - Echocardiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0845", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0155", "description": "Room & Board Ward - Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0845", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0582", "description": "Other Visits (Home Health) - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0582", "description": "Other Visits (Home Health) - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Hospital-based", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0671", "description": "Outpatient Special Residence Charge - Hospital-based", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - Hospital-based", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0671", "description": "Outpatient Special Residence Charge - Hospital-based", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory Pathological - Biopsy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0314", "description": "Laboratory Pathological - Biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Other Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0549", "description": "Ambulance - Other Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Burn Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0207", "description": "Intensive Care - Burn Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Other Ambulance", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0549", "description": "Ambulance - Other Ambulance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastro Intestinal Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0750", "description": "Gastro Intestinal Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - OB", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0152", "description": "Room & Board Ward - OB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0277", "description": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0277", "description": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0277", "description": "Medical/Surgical Supplies and Devices - Oxygen - Take Home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leave of Absence - Therapeutic Leave", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0183", "description": "Leave of Absence - Therapeutic Leave", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology - Group Rate", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0443", "description": "Speech-Language Pathology - Group Rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0144", "description": "Private (Deluxe) - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0134", "description": "Semi-Private - Three & Four Beds - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0432", "description": "Occupational Therapy - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine - Diagnostic Radiopharmaceuticals", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0343", "description": "Nuclear Medicine - Diagnostic Radiopharmaceuticals", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy - Evaluation or Re-evaluation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0424", "description": "Physical Therapy - Evaluation or Re-evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0210", "description": "Coronary Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Allergy Test", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0924", "description": "Other Diagnostic Services - Allergy Test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy - Other Physical Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0429", "description": "Physical Therapy - Other Physical Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - TV/Radio", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0994", "description": "Patient Convenience Items - TV/Radio", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - TV/Radio", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0994", "description": "Patient Convenience Items - TV/Radio", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0124", "description": "Room & Board - Semi-Private Two Bed - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Oxygen", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0544", "description": "Ambulance - Oxygen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Oxygen", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0544", "description": "Ambulance - Oxygen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Sterile Supply", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0272", "description": "Medical/Surgical Supplies and Devices - Sterile Supply", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Other Professional Fees", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0969", "description": "Professional Fees - Other Professional Fees", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - ICU", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0206", "description": "Intensive Care - ICU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0421", "description": "Physical Therapy - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Other Professional Fees", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0969", "description": "Professional Fees - Other Professional Fees", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FDA investigational devices", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0624", "description": "FDA investigational devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Private Duty Nurse", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0989", "description": "Professional Fees - Private Duty Nurse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FDA investigational devices", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0624", "description": "FDA investigational devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Drug Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0944", "description": "Other Therapeutic Services - Drug Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Drug Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0944", "description": "Other Therapeutic Services - Drug Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Take Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0273", "description": "Medical/Surgical Supplies and Devices - Take Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Private Duty Nurse", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0989", "description": "Professional Fees - Private Duty Nurse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0480", "description": "Cardiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Purchase of used DME", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0293", "description": "Durable Medical Equipment - Purchase of used DME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Durable Medical Equipment - Purchase of used DME", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0293", "description": "Durable Medical Equipment - Purchase of used DME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "All - Inclusive Room and Board Plus Ancillary", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0100", "description": "All - Inclusive Room and Board Plus Ancillary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology - Other Speech-Language Pathology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0449", "description": "Speech-Language Pathology - Other Speech-Language Pathology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0420", "description": "Physical Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operating Room Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0360", "description": "Operating Room Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Drugs Incident to Radiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0255", "description": "Pharmacy - Drugs Incident to Radiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0130", "description": "Semi-Private - Three & Four Beds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0159", "description": "Room & Board Ward - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0121", "description": "Room & Board - Semi-Private Two Bed - Medical/Surgical/Gyn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Inpatient Respite Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0655", "description": "Hospice Service - Inpatient Respite Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Inpatient Respite Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0655", "description": "Hospice Service - Inpatient Respite Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0950", "description": "Other Therapeutic Services - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0950", "description": "Other Therapeutic Services - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0422", "description": "Physical Therapy - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0562", "description": "Medical Social Services - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0562", "description": "Medical Social Services - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0135", "description": "Semi-Private - Three & Four Beds - Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Nuclear Medicine", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0974", "description": "Professional Fees - Radiology - Nuclear Medicine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body-Unsuccessful Organ Search-Donor Bank Charges", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0814", "description": "Acquisition of Body-Unsuccessful Organ Search-Donor Bank Charges", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Nuclear Medicine", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0974", "description": "Professional Fees - Radiology - Nuclear Medicine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0148", "description": "Private (Deluxe) - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body-Unsuccessful Organ Search-Donor Bank Charges", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0814", "description": "Acquisition of Body-Unsuccessful Organ Search-Donor Bank Charges", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Restrictive Prescription", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0633", "description": "Drugs Requiring Specific Identification - Restrictive Prescription", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EKG/ECG (Electrocardiogram) - Other EKG/ECG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0739", "description": "EKG/ECG (Electrocardiogram) - Other EKG/ECG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anesthesia - Acupuncture", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0374", "description": "Anesthesia - Acupuncture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Restrictive Prescription", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0633", "description": "Drugs Requiring Specific Identification - Restrictive Prescription", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Restrictive Prescription", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0633", "description": "Drugs Requiring Specific Identification - Restrictive Prescription", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anesthesia - Acupuncture", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0374", "description": "Anesthesia - Acupuncture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Room & Board - Sterile Environment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0164", "description": "Other Room & Board - Sterile Environment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Milieu Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0902", "description": "Psychiatric/Psychological Treatments - Milieu Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Milieu Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0902", "description": "Psychiatric/Psychological Treatments - Milieu Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Immunology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0302", "description": "Laboratory - Immunology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0150", "description": "Room & Board Ward", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy - Other Occupational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0439", "description": "Occupational Therapy - Other Occupational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine - Diagnostic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0341", "description": "Nuclear Medicine - Diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory Surgical Care - Other Ambulatory Surgical Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0499", "description": "Ambulatory Surgical Care - Other Ambulatory Surgical Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0114", "description": "Room & Board - Private - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Medical/Surgical/Gyn", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0111", "description": "Room & Board - Private - Medical/Surgical/Gyn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0153", "description": "Room & Board Ward - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0250", "description": "Pharmacy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Anesthetist (CRNA)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0964", "description": "Professional Fees - Anesthetist (CRNA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Other Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0659", "description": "Hospice Service - Other Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Anesthetist (CRNA)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0964", "description": "Professional Fees - Anesthetist (CRNA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Other Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0659", "description": "Hospice Service - Other Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Recovery Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0710", "description": "Recovery Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Recovery Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0710", "description": "Recovery Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0982", "description": "Professional Fees - Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Outpatient Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0982", "description": "Professional Fees - Outpatient Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical Therapy - Group Rate", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0423", "description": "Physical Therapy - Group Rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine - Therapeutic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0342", "description": "Nuclear Medicine - Therapeutic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0552", "description": "Skilled Nursing - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing - Hourly Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0552", "description": "Skilled Nursing - Hourly Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Other IV Therapy Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0649", "description": "Home IV Therapy Services - Other IV Therapy Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Other IV Therapy Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0649", "description": "Home IV Therapy Services - Other IV Therapy Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Routine Home Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0651", "description": "Hospice Service - Routine Home Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Routine Home Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0651", "description": "Hospice Service - Routine Home Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Neonatal Ambulance Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0546", "description": "Ambulance - Neonatal Ambulance Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Neonatal Ambulance Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0546", "description": "Ambulance - Neonatal Ambulance Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0855", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care - CCU", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0214", "description": "Coronary Care - CCU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0855", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0149", "description": "Private (Deluxe) - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine - Therapeutic Radiopharmaceuticals", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0344", "description": "Nuclear Medicine - Therapeutic Radiopharmaceuticals", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0832", "description": "Peritoneal Dialysis - Outpatient or Home - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal Dialysis - Outpatient or Home - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0832", "description": "Peritoneal Dialysis - Outpatient or Home - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Drugs Incident to Other Diagnostic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0254", "description": "Pharmacy - Drugs Incident to Other Diagnostic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Other-Hospital at Home", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0161", "description": "Room & Board Other-Hospital at Home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - Newborn Level 2", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0172", "description": "Nursery - Newborn Level 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Non-Generic Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0252", "description": "Pharmacy - Non-Generic Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT Scan - Other CT Scans", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0359", "description": "CT Scan - Other CT Scans", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - IV Start/Change, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0643", "description": "Home IV Therapy Services - IV Start/Change, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Daily respite care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0663", "description": "Daily respite care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Daily respite care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0663", "description": "Daily respite care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - IV Start/Change, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0643", "description": "Home IV Therapy Services - IV Start/Change, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Nursing Facility", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0658", "description": "Hospice Service - Nursing Facility", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - Nursing Facility", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0658", "description": "Hospice Service - Nursing Facility", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Oncology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0157", "description": "Room & Board Ward - Oncology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Diagnostic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0972", "description": "Professional Fees - Radiology - Diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Diagnostic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0972", "description": "Professional Fees - Radiology - Diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0204", "description": "Intensive Care - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0822", "description": "Hemodialysis - Outpatient or Home - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Home Supplies", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0822", "description": "Hemodialysis - Outpatient or Home - Home Supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiology - Diagnostic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0320", "description": "Radiology - Diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy - Group Rate", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0433", "description": "Occupational Therapy - Group Rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services - Screening Mammography", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0403", "description": "Other Imaging Services - Screening Mammography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Athletic Training", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0951", "description": "Other Therapeutic Services - Athletic Training", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Athletic Training", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0951", "description": "Other Therapeutic Services - Athletic Training", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Room & Board", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0160", "description": "Other Room & Board", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0560", "description": "Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0560", "description": "Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care - Pulmonary Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0212", "description": "Coronary Care - Pulmonary Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0990", "description": "Patient Convenience Items", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0990", "description": "Patient Convenience Items", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Peripheral Vascular Lab", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0921", "description": "Other Diagnostic Services - Peripheral Vascular Lab", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Audiology - Diagnostic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0471", "description": "Audiology - Diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Medical", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0202", "description": "Intensive Care - Medical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Opthalmology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0962", "description": "Professional Fees - Opthalmology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Experimental Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0256", "description": "Pharmacy - Experimental Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Experimental Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0256", "description": "Pharmacy - Experimental Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Experimental Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0256", "description": "Pharmacy - Experimental Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Detoxification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0126", "description": "Room & Board - Semi-Private Two Bed - Detoxification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0960", "description": "Professional Fees", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Opthalmology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0962", "description": "Professional Fees - Opthalmology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Unknown Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0813", "description": "Acquisition of Body Components-Unknown Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0960", "description": "Professional Fees", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Unknown Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0813", "description": "Acquisition of Body Components-Unknown Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Detoxification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0156", "description": "Room & Board Ward - Detoxification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - State/Equip/Over 4 LPM", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0603", "description": "Oxygen (Home Health) - Oxygen - State/Equip/Over 4 LPM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - State/Equip/Over 4 LPM", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0603", "description": "Oxygen (Home Health) - Oxygen - State/Equip/Over 4 LPM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0300", "description": "Laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Oncology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0127", "description": "Room & Board - Semi-Private Two Bed - Oncology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leave of Absence - Other Leave of Absence", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0189", "description": "Leave of Absence - Other Leave of Absence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-General Classification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0810", "description": "Acquisition of Body Components-General Classification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - NeoNatal ICU", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0175", "description": "Nursery - NeoNatal ICU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-General Classification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0810", "description": "Acquisition of Body Components-General Classification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0670", "description": "Outpatient Special Residence Charge - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outpatient Special Residence Charge - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0670", "description": "Outpatient Special Residence Charge - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Urology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0307", "description": "Laboratory - Urology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Outpatient Services - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0905", "description": "Intensive Outpatient Services - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Activity therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0904", "description": "Psychiatric/Psychological Treatments - Activity therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Outpatient Services - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0905", "description": "Intensive Outpatient Services - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments - Activity therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0904", "description": "Psychiatric/Psychological Treatments - Activity therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Nonpatient Room Rentals", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0995", "description": "Patient Convenience Items - Nonpatient Room Rentals", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0550", "description": "Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skilled Nursing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0550", "description": "Skilled Nursing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Nonpatient Room Rentals", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0995", "description": "Patient Convenience Items - Nonpatient Room Rentals", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0650", "description": "Hospice Service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Pap Smear", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0923", "description": "Other Diagnostic Services - Pap Smear", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Multiple Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0632", "description": "Drugs Requiring Specific Identification - Multiple Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0650", "description": "Hospice Service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Multiple Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0632", "description": "Drugs Requiring Specific Identification - Multiple Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Multiple Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0632", "description": "Drugs Requiring Specific Identification - Multiple Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0431", "description": "Occupational Therapy - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Recreational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0941", "description": "Other Therapeutic Services - Recreational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services - Recreational Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0941", "description": "Other Therapeutic Services - Recreational Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Testing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0918", "description": "Psychiatric/Psychological Services - Testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0910", "description": "Psychiatric/Psychological Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0910", "description": "Psychiatric/Psychological Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Take Home Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0253", "description": "Pharmacy - Take Home Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Other Heart Acquisition", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0816", "description": "Acquisition of Body Components-Other Heart Acquisition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Testing", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0918", "description": "Psychiatric/Psychological Services - Testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Other Heart Acquisition", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0816", "description": "Acquisition of Body Components-Other Heart Acquisition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Units of Service (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0590", "description": "Units of Service (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Units of Service (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0590", "description": "Units of Service (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0600", "description": "Oxygen (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Operating Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0975", "description": "Professional Fees - Operating Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0600", "description": "Oxygen (Home Health)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Operating Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0975", "description": "Professional Fees - Operating Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Group Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0915", "description": "Psychiatric/Psychological Services - Group Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Group Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0915", "description": "Psychiatric/Psychological Services - Group Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology - Evaluation or Re-evaluation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0444", "description": "Speech-Language Pathology - Evaluation or Re-evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology - Stress Test", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0482", "description": "Cardiology - Stress Test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0825", "description": "Hemodialysis - Outpatient or Home - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Support Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0825", "description": "Hemodialysis - Outpatient or Home - Support Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care - Hourly Charge/Home Health Aide/Homemaker", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0662", "description": "Respite Care - Hourly Charge/Home Health Aide/Homemaker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - Oncology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0147", "description": "Private (Deluxe) - Oncology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respite Care - Hourly Charge/Home Health Aide/Homemaker", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0662", "description": "Respite Care - Hourly Charge/Home Health Aide/Homemaker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Other Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0569", "description": "Medical Social Services - Other Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Other Medical Social Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0569", "description": "Medical Social Services - Other Medical Social Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Heart Mobile", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0543", "description": "Ambulance - Heart Mobile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance - Heart Mobile", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0543", "description": "Ambulance - Heart Mobile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Cadaver Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0812", "description": "Acquisition of Body Components-Cadaver Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0441", "description": "Speech-Language Pathology - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Cadaver Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0812", "description": "Acquisition of Body Components-Cadaver Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0270", "description": "Medical/Surgical Supplies and Devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Living Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0811", "description": "Acquisition of Body Components-Living Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - IV Site Care, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0642", "description": "Home IV Therapy Services - IV Site Care, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Living Donor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0811", "description": "Acquisition of Body Components-Living Donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - IV Site Care, Central Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0642", "description": "Home IV Therapy Services - IV Site Care, Central Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Assessment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0583", "description": "Other Visits (Home Health) - Assessment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0970", "description": "Professional Fees - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Visits (Home Health) - Assessment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0583", "description": "Other Visits (Home Health) - Assessment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0970", "description": "Professional Fees - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Medical/Surgical/Gyn", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0151", "description": "Room & Board Ward - Medical/Surgical/Gyn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology - Other Cardiology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0489", "description": "Cardiology - Other Cardiology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0853", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0853", "description": "Continuous Cycling Peritoneal Dialysis (CCPD) - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Other Patient Convenience Items", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0999", "description": "Patient Convenience Items - Other Patient Convenience Items", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Other Patient Convenience Items", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0999", "description": "Patient Convenience Items - Other Patient Convenience Items", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care - Myocardial Infarction", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0211", "description": "Coronary Care - Myocardial Infarction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharmacy - Generic Drugs", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0251", "description": "Pharmacy - Generic Drugs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - State/Equip/Suppl/ or cont", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0601", "description": "Oxygen (Home Health) - Oxygen - State/Equip/Suppl/ or cont", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen (Home Health) - Oxygen - State/Equip/Suppl/ or cont", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0601", "description": "Oxygen (Home Health) - Oxygen - State/Equip/Suppl/ or cont", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Other Components", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0386", "description": "Blood - Other Components", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reserved", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0184", "description": "Reserved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Nonroutine Nursing, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0644", "description": "Home IV Therapy Services - Nonroutine Nursing, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home IV Therapy Services - Nonroutine Nursing, Peripheral Line", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0644", "description": "Home IV Therapy Services - Nonroutine Nursing, Peripheral Line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Imaging Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0400", "description": "Other Imaging Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG (Electroencephalogram) - Other EEG", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0749", "description": "EEG (Electroencephalogram) - Other EEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Diagnostic Services - Pregnancy Test", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0925", "description": "Other Diagnostic Services - Pregnancy Test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Medicine", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0340", "description": "Nuclear Medicine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech-Language Pathology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0440", "description": "Speech-Language Pathology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Recovery Room - Other Recovery Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0719", "description": "Recovery Room - Other Recovery Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Recovery Room - Other Recovery Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0719", "description": "Recovery Room - Other Recovery Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI - Other MRT", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0619", "description": "MRI - Other MRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EKG/ECG (Electrocardiogram) - Holter Monitor", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0731", "description": "EKG/ECG (Electrocardiogram) - Holter Monitor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI - Brain (Including Brainstem)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0611", "description": "MRI - Brain (Including Brainstem)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory Pathological - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0319", "description": "Laboratory Pathological - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EKG/ECG (Electrocardiogram) - Telemetry", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0732", "description": "EKG/ECG (Electrocardiogram) - Telemetry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical/Surgical Supplies and Devices - Pace Maker", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0275", "description": "Medical/Surgical Supplies and Devices - Pace Maker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Maintenance/100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0824", "description": "Hemodialysis - Outpatient or Home - Maintenance/100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Maintenance/100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0824", "description": "Hemodialysis - Outpatient or Home - Maintenance/100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Individual Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0914", "description": "Psychiatric/Psychological Services - Individual Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Individual Therapy", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0914", "description": "Psychiatric/Psychological Services - Individual Therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0123", "description": "Room & Board - Semi-Private Two Bed - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Hospice", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0125", "description": "Room & Board - Semi-Private Two Bed - Hospice", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Partial Hosp. Intensive", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0913", "description": "Psychiatric/Psychological Services - Partial Hosp. Intensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Partial Hosp. Intensive", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0913", "description": "Psychiatric/Psychological Services - Partial Hosp. Intensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Semi-Private Two Bed - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0129", "description": "Room & Board - Semi-Private Two Bed - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EKG/ECG (Electrocardiogram)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0730", "description": "EKG/ECG (Electrocardiogram)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Care - Pediatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0203", "description": "Intensive Care - Pediatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0961", "description": "Professional Fees - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Psychiatric", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0961", "description": "Professional Fees - Psychiatric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0900", "description": "Psychiatric/Psychological Treatments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Treatments", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0900", "description": "Psychiatric/Psychological Treatments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood - Plasma", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0383", "description": "Blood - Plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Outpatient Services - Chemical Dependency", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0906", "description": "Intensive Outpatient Services - Chemical Dependency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive Outpatient Services - Chemical Dependency", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0906", "description": "Intensive Outpatient Services - Chemical Dependency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursery - Newborn Level 4", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0174", "description": "Nursery - Newborn Level 4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other Therapeutic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0940", "description": "Other Therapeutic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory Pathological", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0310", "description": "Laboratory Pathological", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Medical/Surgical/Gyn", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0131", "description": "Semi-Private - Three & Four Beds - Medical/Surgical/Gyn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0561", "description": "Medical Social Services - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical Social Services - Visit Charge", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0561", "description": "Medical Social Services - Visit Charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board - Private - Detoxification", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0116", "description": "Room & Board - Private - Detoxification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Therapeutic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0973", "description": "Professional Fees - Radiology - Therapeutic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Radiology - Therapeutic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0973", "description": "Professional Fees - Radiology - Therapeutic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0911", "description": "Psychiatric/Psychological Services - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - General Inpatient Care (Non-Respite)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0656", "description": "Hospice Service - General Inpatient Care (Non-Respite)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric/Psychological Services - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0911", "description": "Psychiatric/Psychological Services - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice Service - General Inpatient Care (Non-Respite)", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0656", "description": "Hospice Service - General Inpatient Care (Non-Respite)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0530", "description": "Osteopathic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic Services", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0530", "description": "Osteopathic Services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-Private - Three & Four Beds - Oncology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0137", "description": "Semi-Private - Three & Four Beds - Oncology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0636", "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laboratory - Chemistry", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0301", "description": "Laboratory - Chemistry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0843", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0843", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Single Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0631", "description": "Drugs Requiring Specific Identification - Single Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Single Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0631", "description": "Drugs Requiring Specific Identification - Single Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drugs Requiring Specific Identification - Single Source Drug", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0631", "description": "Drugs Requiring Specific Identification - Single Source Drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0700", "description": "Cast Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0823", "description": "Hemodialysis - Outpatient or Home - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast Room", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0700", "description": "Cast Room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis - Outpatient or Home - Home Equipment", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0823", "description": "Hemodialysis - Outpatient or Home - Home Equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI - Other", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0614", "description": "MRI - Other", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Room & Board Ward - Rehabilitation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0158", "description": "Room & Board Ward - Rehabilitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT Scan", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0350", "description": "CT Scan", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0980", "description": "Professional Fees - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary Care - Other Coronary Care", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0219", "description": "Coronary Care - Other Coronary Care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Stem Cells-Allogeneic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0815", "description": "Acquisition of Body Components-Stem Cells-Allogeneic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acquisition of Body Components-Stem Cells-Allogeneic", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0815", "description": "Acquisition of Body Components-Stem Cells-Allogeneic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Admission Kits", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0997", "description": "Patient Convenience Items - Admission Kits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - General", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0980", "description": "Professional Fees - General", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0844", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0844", "description": "Cont Ambulatory Peritoneal Dialysis (CAPD) - Maintenance 100%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient Convenience Items - Admission Kits", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0997", "description": "Patient Convenience Items - Admission Kits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0610", "description": "MRI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "percentage", "negotiated_rate": 70.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occupational Therapy - Evaluation or Re-evaluation", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0434", "description": "Occupational Therapy - Evaluation or Re-evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 193.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Private (Deluxe) - OB", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0142", "description": "Private (Deluxe) - OB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "per diem", "negotiated_rate": 2231.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Speech Pathology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0979", "description": "Professional Fees - Speech Pathology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional Fees - Speech Pathology", "billing_code_type": "RC", "billing_code_type_version": "2026", "billing_code": "0979", "description": "Professional Fees - Speech Pathology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD MICRODIL/AGAR DIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87186", "description": "SC STD MICRODIL/AGAR DIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33767", "description": "Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2441.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88267", "description": "Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2204", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV AG W/HIV1&2 ANTB W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87806", "description": "HIV AG W/HIV1&2 ANTB W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28200", "description": "Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 547.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2312", "description": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2418.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lip, full thickness; over one-half vertical height, or complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40654", "description": "Repair lip, full thickness; over one-half vertical height, or complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 700.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, smears, any other source; preparation, screening and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88161", "description": "Cytopathology, smears, any other source; preparation, screening and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTACENT AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4190", "description": "ARTACENT AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GLUC HYDRC NOT TX EQV J1610/1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1611", "description": "INJ GLUC HYDRC NOT TX EQV J1610/1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, wrist, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73115", "description": "Radiologic examination, wrist, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92616", "description": "Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32504", "description": "RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3501.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor XI (PTA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85270", "description": "Clotting; factor XI (PTA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST TOE FLEXION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1829", "description": "ADJUST TOE FLEXION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, neck; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70547", "description": "Magnetic resonance angiography, neck; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED SAME PHYS/QHP EACH ADDL 15 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99153", "description": "MOD SED SAME PHYS/QHP EACH ADDL 15 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0123", "description": "SCR CYTOPATH CERV/VAG SCR CYTOTECH UND PHYS SUPV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51050", "description": "Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 758.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90875", "description": "INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25405", "description": "Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1679.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical dacryocystography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78660", "description": "Radiopharmaceutical dacryocystography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82570", "description": "Creatinine; other source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cervical stump, vaginal approach; with anterior and/or posterior repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57555", "description": "Excision of cervical stump, vaginal approach; with anterior and/or posterior repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 976.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of vaginal hematoma; obstetrical/postpartum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57022", "description": "Incision and drainage of vaginal hematoma; obstetrical/postpartum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 283.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67414", "description": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2170.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0563T", "description": "EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX TALUS FRACTURE W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28435", "description": "CLTX TALUS FRACTURE W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 589.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurology (autism spectrum disorder [ASD]), RNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0170U", "description": "Neurology (autism spectrum disorder [ASD]), RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERAPY ACTIVATION IPNSS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93150", "description": "THERAPY ACTIVATION IPNSS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadobenate dimeglumine (MultiHance multipack), per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9578", "description": "Injection, gadobenate dimeglumine (MultiHance multipack), per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93227", "description": "XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97164", "description": "PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy mask, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7525", "description": "Tracheostomy mask, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97750", "description": "Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81222", "description": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous placement of enteroclysis tube, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74355", "description": "Percutaneous placement of enteroclysis tube, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatase, alkaline;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84075", "description": "Phosphatase, alkaline;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN FASCT PEL COMPARTMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27027", "description": "DCMPRN FASCT PEL COMPARTMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1452.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for wrist arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25246", "description": "Injection procedure for wrist arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spoke protectors, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0065", "description": "Spoke protectors, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Color vision examination, extended, eg, anomaloscope or equivalent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92283", "description": "Color vision examination, extended, eg, anomaloscope or equivalent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1077.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tendon, finger, flexor or extensor, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26180", "description": "Excision of tendon, finger, flexor or extensor, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 769.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0109T", "description": "Quantitative sensory testing (QST), testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRUSKIN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4167", "description": "TRUSKIN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67334", "description": "Strabismus surgery by posterior fixation suture technique, with or without muscle recession (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81342", "description": "TRG@ (T cell antigen receptor, gamma) (eg, leukemia and lymphoma), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC LM EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22632", "description": "ARTHRD PST TQ 1NTRSPC LM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 540.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9584", "description": "Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4432.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORCHIOPEXY INGUINAL OR SCROTAL APPROACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54640", "description": "ORCHIOPEXY INGUINAL OR SCROTAL APPROACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 690.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHR ANK OSTCHN DF TAL /TIB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29891", "description": "ARTHR ANK OSTCHN DF TAL /TIB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1124.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67930", "description": "Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9960", "description": "High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX SPRCNDLR HUM FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24538", "description": "PRQ SKEL FIX SPRCNDLR HUM FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1349.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2201", "description": "Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uric acid; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84550", "description": "Uric acid; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue expander placement in breast reconstruction, including subsequent expansion(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19357", "description": "Tissue expander placement in breast reconstruction, including subsequent expansion(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1913.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LEVOTHYROXINE FRESKABI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0651", "description": "INJ LEVOTHYROXINE FRESKABI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EpiFix, injectable, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4145", "description": "EpiFix, injectable, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36580", "description": "Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASCVD RSK MNG CLIN STF PR MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0538", "description": "ASCVD RSK MNG CLIN STF PR MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROGATION EVAL REMOTE SESS PRETERM INFANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67229", "description": "EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1672.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82040", "description": "Albumin; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26862", "description": "Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1315.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cautery of cervix; cryocautery, initial or repeat", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57511", "description": "Cautery of cervix; cryocautery, initial or repeat", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1180", "description": "Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable footrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 216.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58520", "description": "Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1253.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33419", "description": "TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 668.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI TRC IMG INTRAL ESOPHAGUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91111", "description": "GI TRC IMG INTRAL ESOPHAGUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1621.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44202", "description": "Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2343.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the entire vagina, with cervix if present;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57420", "description": "Colposcopy of the entire vagina, with cervix if present;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg splint, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4044", "description": "Cast supplies, long leg splint, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76983", "description": "Ultrasound, elastography; each additional target lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolytic factors and inhibitors; plasminogen, antigenic assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85421", "description": "Fibrinolytic factors and inhibitors; plasminogen, antigenic assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1092", "description": "Wide heavy-duty wheel chair, detachable arms (desk or full-length), swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID-19 AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87635", "description": "SARS-COV-2 COVID-19 AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46262", "description": "Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1069.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 839.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26755", "description": "Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61154", "description": "Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2424.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; sperm presence and motility of sperm, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89321", "description": "Semen analysis; sperm presence and motility of sperm, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9030.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCT SNSATN TONE&CMPLIANC STD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91124", "description": "RCT SNSATN TONE&CMPLIANC STD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy; digital arteries, each digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64820", "description": "Sympathectomy; digital arteries, each digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1250.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO NEO GSAP DNA MCRSTL INS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81457", "description": "SO NEO GSAP DNA MCRSTL INS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29894", "description": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AI IBD MRNA XPRSN PRFL 17", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0203U", "description": "AI IBD MRNA XPRSN PRFL 17", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ USTEKINUMAB AAUZ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9999", "description": "INJ USTEKINUMAB AAUZ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; intra-abdominal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35281", "description": "Repair blood vessel with graft other than vein; intra-abdominal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2716.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37181", "description": "Venous anastomosis, open; splenorenal, distal (selective decompression of esophagogastric varices, any technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3918.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNPNXR 3 YEARS/> PHYS/QHP SKILL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36410", "description": "VNPNXR 3 YEARS/> PHYS/QHP SKILL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33732", "description": "Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2847.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Puncture aspiration of cyst of breast;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19000", "description": "Puncture aspiration of cyst of breast;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal lung maturity assessment; lamellar body density", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83664", "description": "Fetal lung maturity assessment; lamellar body density", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27096", "description": "Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIVER DS ALYS 3 BMRK SRM ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81517", "description": "LIVER DS ALYS 3 BMRK SRM ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87071", "description": "Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52301", "description": "Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42815", "description": "Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10036", "description": "PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28107", "description": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 560.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82565", "description": "Creatinine; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ID ASPERGILLUS DNA 4 SPECIES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0109U", "description": "ID ASPERGILLUS DNA 4 SPECIES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Male external catheter with integral collection chamber, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4326", "description": "Male external catheter with integral collection chamber, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0043", "description": "Footrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27125", "description": "Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1860.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31573", "description": "Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indwelling catheter; Foley type, 3-way for continuous irrigation, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4346", "description": "Indwelling catheter; Foley type, 3-way for continuous irrigation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37700", "description": "Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65285", "description": "Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1603.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99447", "description": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHONE/INTERNET EHR ASSESS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0546", "description": "PHONE/INTERNET EHR ASSESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VIII, VW factor antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85246", "description": "Clotting; factor VIII, VW factor antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTACENT VERICLEN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4339", "description": "ARTACENT VERICLEN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44211", "description": "LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3384.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, plerixafor, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2562", "description": "Injection, plerixafor, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25431", "description": "Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1326.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83519", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ziconotide, 1 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2278", "description": "Injection, ziconotide, 1 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP TRIBUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4407", "description": "XWRAP TRIBUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGT HIV GNRJ SEQ ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0219U", "description": "NFCT AGT HIV GNRJ SEQ ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1087.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NOGAPENDEKIN PMLN 1MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9028", "description": "INJ NOGAPENDEKIN PMLN 1MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49083", "description": "Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53460", "description": "Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 737.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27506", "description": "Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2196.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26785", "description": "Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 936.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of ankle dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27840", "description": "Closed treatment of ankle dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 814.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatotomy, external drainage of prostatic abscess, any approach; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55720", "description": "Prostatotomy, external drainage of prostatic abscess, any approach; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37182", "description": "INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1208.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dry pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0199", "description": "Dry pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43210", "description": "Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 666.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28002", "description": "Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CO GNOTYP AQP1 EXON 1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0181U", "description": "CO GNOTYP AQP1 EXON 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38747", "description": "ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neurofibroma or neurolemmoma; major peripheral nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64790", "description": "Excision of neurofibroma or neurolemmoma; major peripheral nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1464.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein-associated phospholipase A2 (Lp-PLA2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83698", "description": "Lipoprotein-associated phospholipase A2 (Lp-PLA2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin A", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84590", "description": "Vitamin A", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27358", "description": "Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 426.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97161", "description": "PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ear protector attenuation measurements", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92596", "description": "Ear protector attenuation measurements", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOPLASTY HUMERUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24420", "description": "OSTEOPLASTY HUMERUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1798.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63011", "description": "LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1840.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26392", "description": "Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1743.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1002.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2305", "description": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00 cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87556", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21261", "description": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3878.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LEUPROLIDE ACET LUTR DPT 7.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1954", "description": "INJ LEUPROLIDE ACET LUTR DPT 7.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 981.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68505", "description": "Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1592.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 94.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25491", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1247.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5289.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPHNCTROTMY ANAL DIV SPHNCTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46080", "description": "SPHNCTROTMY ANAL DIV SPHNCTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 110.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87563", "description": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody identification; platelet antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86022", "description": "Antibody identification; platelet antibodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61558", "description": "Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3502.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D SHOULDER DEEP ABSC/HMTMA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23030", "description": "I D SHOULDER DEEP ABSC/HMTMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78414", "description": "CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 537.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 472.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orchiectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54522", "description": "Orchiectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 934.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0110", "description": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Perineoplasty, repair of perineum, nonobstetrical (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56810", "description": "Perineoplasty, repair of perineum, nonobstetrical (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 427.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; colonoscopy on individual at high risk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0105", "description": "Colorectal cancer screening; colonoscopy on individual at high risk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 15552.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93281", "description": "PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadobenate dimeglumine (MultiHance), per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9577", "description": "Injection, gadobenate dimeglumine (MultiHance), per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION SUTIMLIMAB-JOME 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1302", "description": "INJECTION SUTIMLIMAB-JOME 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3042.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARDEOGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4333", "description": "ARDEOGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shock absorber for manual wheelchair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1015", "description": "Shock absorber for manual wheelchair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2358.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29868", "description": "Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2717.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation of penis for injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54440", "description": "Plastic operation of penis for injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1786.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21603", "description": "EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3035.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPRESSION GLOVE EACH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6581", "description": "GRADIENT COMPRESSION GLOVE EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home ventilator, any type, used with noninvasive interface, (e.g., mask, chest shell)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0466", "description": "Home ventilator, any type, used with noninvasive interface, (e.g., mask, chest shell)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2040.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71101", "description": "Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, partial, distal; with formation of intestinal pouch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43634", "description": "Gastrectomy, partial, distal; with formation of intestinal pouch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3595.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64624", "description": "DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 229.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6229", "description": "Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ADAMTS13 10 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7171", "description": "INJ ADAMTS13 10 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0691", "description": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1440.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPLANTATION IRIS PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66683", "description": "IMPLANTATION IRIS PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1141.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, metacarpal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26250", "description": "Radical resection of tumor, metacarpal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1771.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64895", "description": "Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2143.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION COR ACTHAR GEL UP TO 40 U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0801", "description": "INJECTION COR ACTHAR GEL UP TO 40 U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5793.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "USTEKINUMAB-TTWE IV INJ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9997", "description": "USTEKINUMAB-TTWE IV INJ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92540", "description": "VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0973", "description": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT UC; NON-DISP SUCT PUMP PER MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6591", "description": "EXT UC; NON-DISP SUCT PUMP PER MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antiinhibitor, per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7198", "description": "Antiinhibitor, per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81112", "description": "HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0340", "description": "IMAGE GUID ROBOTIC ACCL SRS FRAC TX LES 2-5 SESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6256.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; adenovirus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86603", "description": "Antibody; adenovirus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25075", "description": "Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deoxyribonuclease, antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86215", "description": "Deoxyribonuclease, antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, metacarpophalangeal joint, with or without internal fixation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26850", "description": "Arthrodesis, metacarpophalangeal joint, with or without internal fixation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4408", "description": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 in, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45317", "description": "Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 917.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctival flap; total (such as Gunderson thin flap or purse string flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68362", "description": "Conjunctival flap; total (such as Gunderson thin flap or purse string flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 967.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27692", "description": "Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pure tone audiometry (threshold), automated; air and bone", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0209T", "description": "Pure tone audiometry (threshold), automated; air and bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, soft tissue neck; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70490", "description": "Computed tomography, soft tissue neck; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81303", "description": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32994", "description": "ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0596", "description": "Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94060", "description": "Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clitoroplasty for intersex state", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56805", "description": "Clitoroplasty for intersex state", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1818.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4263.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27447", "description": "Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2082.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 614.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3801.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28576", "description": "Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4429", "description": "Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ASD MEAS 14 ACYL CARN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0322U", "description": "NEURO ASD MEAS 14 ACYL CARN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urobilinogen, feces, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84577", "description": "Urobilinogen, feces, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, normal saline solution, 250 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7050", "description": "Infusion, normal saline solution, 250 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reimplantation of an anomalous pulmonary artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33788", "description": "Reimplantation of an anomalous pulmonary artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2622.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 18313.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer of tendon to restore intrinsic function; all 4 fingers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26498", "description": "Transfer of tendon to restore intrinsic function; all 4 fingers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2009.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0560T", "description": "ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21195", "description": "Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2145.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APC GENE MRNA SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0157U", "description": "APC GENE MRNA SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0518", "description": "Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scleral cover shell", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2627", "description": "Scleral cover shell", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2903.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PELLOGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4320", "description": "PELLOGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96417", "description": "CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG) extended monitoring; 41-60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95812", "description": "Electroencephalogram (EEG) extended monitoring; 41-60 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with section of spinal accessory nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63191", "description": "Laminectomy with section of spinal accessory nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2600.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88155", "description": "CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Syndactylization, toes (eg, webbing or Kelikian type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28280", "description": "Syndactylization, toes (eg, webbing or Kelikian type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 559.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of clavicular fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23500", "description": "Closed treatment of clavicular fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPOSG PHRNC NRV STIM TRNSVN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33281", "description": "REPOSG PHRNC NRV STIM TRNSVN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 614.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70557", "description": "MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 995.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of choledochal cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47715", "description": "Excision of choledochal cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2292.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, actuator, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2378", "description": "Power wheelchair component, actuator, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065-77066)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0279", "description": "Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065-77066)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62320", "description": "NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheel attachment, rigid pick-up walker, per pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0155", "description": "Wheel attachment, rigid pick-up walker, per pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99172", "description": "VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43265", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG MNISECTMY M L", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29880", "description": "ARTHRS KNE SRG MNISECTMY M L", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 954.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, GELSYN-3, for intra-articular injection, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7328", "description": "Hyaluronan or derivative, GELSYN-3, for intra-articular injection, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23076", "description": "Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 942.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64605", "description": "Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 799.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, nasal polyp(s), simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30110", "description": "Excision, nasal polyp(s), simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT DISC ARTHRP ANT 2ND LVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22858", "description": "TOT DISC ARTHRP ANT 2ND LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, elevating legrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0990", "description": "Wheelchair accessory, elevating legrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM CTC SLCT ER PRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0491U", "description": "ONC SOL TUM CTC SLCT ER PRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3652.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1503.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88248", "description": "Chromosome analysis for breakage syndromes; baseline breakage, score 50-100 cells, count 20 cells, 2 karyotypes (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine kinase (CK), (CPK); isoenzymes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82552", "description": "Creatine kinase (CK), (CPK); isoenzymes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin D; 25 hydroxy, includes fraction(s), if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82306", "description": "Vitamin D; 25 hydroxy, includes fraction(s), if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulectomy or capsulotomy; interphalangeal joint, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26525", "description": "Capsulectomy or capsulotomy; interphalangeal joint, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1208.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, except by refractometry; urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84156", "description": "Protein, total, except by refractometry; urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of spinal cord, percutaneous needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62269", "description": "Biopsy of spinal cord, percutaneous needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 380.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX ULNAR FX PROX W/O MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24670", "description": "CLTX ULNAR FX PROX W/O MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 503.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; enterovirus (eg, coxsackie, echo, polio)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86658", "description": "Antibody; enterovirus (eg, coxsackie, echo, polio)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7202", "description": "Injection, factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58292", "description": "Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2043.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, clonidine HCl, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0735", "description": "Injection, clonidine HCl, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36903", "description": "INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 490.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pooling of platelets or other blood products", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86965", "description": "Pooling of platelets or other blood products", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37187", "description": "Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 612.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; sperm presence and motility of sperm, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89321", "description": "Semen analysis; sperm presence and motility of sperm, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCR CYTOPATH CERV/VAG MNL SCR&RSCR UND PHYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0143", "description": "SCR CYTOPATH CERV/VAG MNL SCR&RSCR UND PHYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95700", "description": "EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 413.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4204", "description": "XWRAP PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal exploration, not necessitating other specific procedures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50010", "description": "Renal exploration, not necessitating other specific procedures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1119.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2604", "description": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64450", "description": "INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 641.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, ankle, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27870", "description": "Arthrodesis, ankle, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1650.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44127", "description": "Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4816.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of finger abscess; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26010", "description": "Drainage of finger abscess; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; immunofluorescent method, each antiserum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87140", "description": "Culture, typing; immunofluorescent method, each antiserum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Central motor evoked potential study (transcranial motor stimulation); upper limbs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95928", "description": "Central motor evoked potential study (transcranial motor stimulation); upper limbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of canaliculi", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68700", "description": "Plastic repair of canaliculi", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoperfusion (eg, with activated charcoal or resin)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90997", "description": "Hemoperfusion (eg, with activated charcoal or resin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Natriuretic peptide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83880", "description": "Natriuretic peptide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32141", "description": "Thoracotomy; with resection-plication of bullae, includes any pleural procedure when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2611.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extraction, erupted tooth or exposed root (elevation and/or forceps removal)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "D7140", "description": "Extraction, erupted tooth or exposed root (elevation and/or forceps removal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, normal saline solution, sterile (500 ml=1 unit)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7040", "description": "Infusion, normal saline solution, sterile (500 ml=1 unit)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; sciatic nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64786", "description": "Excision of neuroma; sciatic nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88364", "description": "In situ hybridization (eg, FISH), per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43118", "description": "PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6124.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, with total or partial vaginectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58275", "description": "Vaginal hysterectomy, with total or partial vaginectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1555.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastoid obliteration (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69670", "description": "Mastoid obliteration (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1482.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, proximal or middle phalanx of finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26260", "description": "Radical resection of tumor, proximal or middle phalanx of finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1340.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 125.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 89.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19086", "description": "BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6162.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25800", "description": "Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0184T", "description": "Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1383.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 244.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2312", "description": "Power wheelchair accessory, hand or chin control interface, mini-proportional remote joystick, proportional, including fixed mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OMEGAVEN 10 G LIPIDS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4187", "description": "OMEGAVEN 10 G LIPIDS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49442", "description": "Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25574", "description": "Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1148.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPL REJ KDN MRNA QPCR 139", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81558", "description": "TRNSPL REJ KDN MRNA QPCR 139", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4860.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2614", "description": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3044F", "description": "Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43239", "description": "Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7631", "description": "Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stem cells (ie, CD34), total count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86367", "description": "Stem cells (ie, CD34), total count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35341", "description": "Thromboendarterectomy, including patch graft, if performed; mesenteric, celiac, or renal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2274.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; iliofemoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35565", "description": "Bypass graft, with vein; iliofemoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2127.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95954", "description": "RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 489.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67043", "description": "VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1730.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92060", "description": "Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CST SHO TO HAND LNG ARM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29065", "description": "APPL CST SHO TO HAND LNG ARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagojejunostomy (without total gastrectomy); thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43341", "description": "Esophagojejunostomy (without total gastrectomy); thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2437.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Air pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0197", "description": "Air pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0666", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "17-hydroxypregnenolone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84143", "description": "17-hydroxypregnenolone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED BRST CA RLTD DO PANEL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0129U", "description": "HERED BRST CA RLTD DO PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM DNA 80 & RNA 36", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0409U", "description": "ONC SLD TUM DNA 80 & RNA 36", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free muscle or myocutaneous flap with microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15756", "description": "Free muscle or myocutaneous flap with microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3470.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87591", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ziprasidone mesylate, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3486", "description": "Injection, ziprasidone mesylate, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, spinal canal and contents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76800", "description": "Ultrasound, spinal canal and contents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glutathione", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82978", "description": "Glutathione", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Assessment of tinnitus (includes pitch, loudness matching, and masking)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92625", "description": "Assessment of tinnitus (includes pitch, loudness matching, and masking)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROFLEX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4125", "description": "ARTHROFLEX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68815", "description": "Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, aripiprazole, intramuscular, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0400", "description": "Injection, aripiprazole, intramuscular, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 26.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41008", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 431.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement garment for use with automated external defibrillator, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0608", "description": "Replacement garment for use with automated external defibrillator, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Marsupialization of pancreatic cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48500", "description": "Marsupialization of pancreatic cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1995.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54322", "description": "1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1230.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, open, of 1 or more liver tumor(s); cryosurgical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47381", "description": "Ablation, open, of 1 or more liver tumor(s); cryosurgical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2531.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; posterior compartment(s) only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27601", "description": "Decompression fasciotomy, leg; posterior compartment(s) only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 746.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRIEF COMUNICAJ TECH-BSD SVC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98016", "description": "BRIEF COMUNICAJ TECH-BSD SVC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44345", "description": "Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1780.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63173", "description": "Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3213.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MIDFACE LEFORT I 1PC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21141", "description": "RCNSTJ MIDFACE LEFORT I 1PC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2128.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sirolimus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80195", "description": "Sirolimus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOMATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2021", "description": "NEOMATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0236T", "description": "Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; abdominal aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21917.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64455", "description": "Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevation of depressed skull fracture; compound or comminuted, extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62005", "description": "Elevation of depressed skull fracture; compound or comminuted, extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2388.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implantable defibrillator pulse generator only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33241", "description": "Removal of implantable defibrillator pulse generator only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meatotomy, cutting of meatus (separate procedure); except infant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53020", "description": "Meatotomy, cutting of meatus (separate procedure); except infant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80417", "description": "Peripheral vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99383", "description": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TCAT PLMT NTRAC ST 2+LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92930", "description": "PRQ TCAT PLMT NTRAC ST 2+LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 854.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7308", "description": "Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 551.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73206", "description": "Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50562", "description": "RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 892.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87278", "description": "Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3240.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81184", "description": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilirubin, total, transcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88720", "description": "Bilirubin, total, transcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57061", "description": "Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lingual frenum (frenectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41115", "description": "Excision of lingual frenum (frenectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED PRST8 CA GSAP 23 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0475U", "description": "HERED PRST8 CA GSAP 23 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/2500 DMR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0537U", "description": "ONC CLRCT CA CFDNA >2500 DMR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2242.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86235", "description": "Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluorouracil, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9190", "description": "Injection, fluorouracil, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20705", "description": "REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ocular implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65175", "description": "Removal of ocular implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1221.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0500", "description": "MODERATE SEDAT SRVC PROV SAME PHYS PERF GI ENDO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography guidance for, and monitoring of, parenchymal tissue ablation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77013", "description": "Computed tomography guidance for, and monitoring of, parenchymal tissue ablation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 830.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35879", "description": "Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1538.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited pharyngectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42890", "description": "Limited pharyngectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2214.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation through wrist; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25922", "description": "Disarticulation through wrist; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1119.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77063", "description": "Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG DBRDMT/SHVG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29877", "description": "ARTHRS KNEE SURG DBRDMT/SHVG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1051.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 340.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BEREMAGENE GEPERPAVEC-SVDT TOP ADM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3401", "description": "BEREMAGENE GEPERPAVEC-SVDT TOP ADM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1421.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1686.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20650", "description": "Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thorax, diagnostic; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71260", "description": "Computed tomography, thorax, diagnostic; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRTC CA ALG ALYS 16GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0510U", "description": "ONC PNCRTC CA ALG ALYS 16GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 710.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82952", "description": "Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hydroxyzine HCl, up to 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3410", "description": "Injection, hydroxyzine HCl, up to 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of subdiaphragmatic or subphrenic abscess, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49040", "description": "Drainage of subdiaphragmatic or subphrenic abscess, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1748.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance service, basic life support, nonemergency transport, (BLS)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0428", "description": "Ambulance service, basic life support, nonemergency transport, (BLS)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 492.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0444T", "description": "Initial placement of a drug-eluting ocular insert under one or more eyelids, including fitting, training, and insertion, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59074", "description": "Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 514.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 226.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, single vision, plano to plus or minus 4.00, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2100", "description": "Sphere, single vision, plano to plus or minus 4.00, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59150", "description": "Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1325.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dome and mouthpiece, used with small volume ultrasonic nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7016", "description": "Dome and mouthpiece, used with small volume ultrasonic nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64616", "description": "Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41007", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High mount flip-up footrest, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0037", "description": "High mount flip-up footrest, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens PMMA, bifocal, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2502", "description": "Contact lens PMMA, bifocal, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microdissection (ie, sample preparation of microscopically identified target); laser capture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88380", "description": "Microdissection (ie, sample preparation of microscopically identified target); laser capture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0578T", "description": "REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48548", "description": "Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2850.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "R-T FLUOR WOUND IMG EA ADDL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0599T", "description": "R-T FLUOR WOUND IMG EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34808", "description": "Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93290", "description": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87480", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ROTARY WING AIR TRANSPORT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0431", "description": "ROTARY WING AIR TRANSPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7370.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amino acids; multiple, qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82128", "description": "Amino acids; multiple, qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66850", "description": "Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg, phacoemulsification), with aspiration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1157.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFIX CORE & GRAFIXPL CORE-SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4132", "description": "GRAFIX CORE & GRAFIXPL CORE-SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MIRO3D PER CC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2025", "description": "MIRO3D PER CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of embedded foreign body from dentoalveolar structures; soft tissues", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41805", "description": "Removal of embedded foreign body from dentoalveolar structures; soft tissues", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 340.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFORT III W/I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21155", "description": "RCNSTJ MDFC LEFORT III W/I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3254.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82272", "description": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0978", "description": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CORRECTION CLAW FINGER OTHER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26499", "description": "CORRECTION CLAW FINGER OTHER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1524.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, drive wheel gear box, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2369", "description": "Power wheelchair component, drive wheel gear box, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 423.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, subtalar joint, surgical; with debridement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29906", "description": "Arthroscopy, subtalar joint, surgical; with debridement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1110.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 552.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34841", "description": "ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2196.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36581", "description": "Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32855", "description": "BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 408.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81269", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15201", "description": "FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73719", "description": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32672", "description": "THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2602.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11622", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38214", "description": "Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35021", "description": "DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2193.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DELAYED PLMT PROX XTN PROSTH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33883", "description": "DELAYED PLMT PROX XTN PROSTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1753.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0147", "description": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Staggered spondaic word test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92572", "description": "Staggered spondaic word test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91038", "description": "ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 689.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FOSDENOPTERIN 0.1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1809", "description": "INJ FOSDENOPTERIN 0.1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0627", "description": "Seat lift mechanism, electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAREGIVER TRAING EA ADDL 15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97551", "description": "CAREGIVER TRAING EA ADDL 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64483", "description": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11755", "description": "Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of previously implanted intrathecal or epidural catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62355", "description": "Removal of previously implanted intrathecal or epidural catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 508.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37218", "description": "TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1352.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1012", "description": "Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX RDL HEAD/NCK FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24655", "description": "CLTX RDL HEAD/NCK FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 794.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90743", "description": "Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive cardiac rehabilitation; with or without continuous ECG monitoring; without exercise, per session", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0423", "description": "Intensive cardiac rehabilitation; with or without continuous ECG monitoring; without exercise, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OASIS ULTRA TRI-LAY WND MATRX SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4124", "description": "OASIS ULTRA TRI-LAY WND MATRX SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cross intrinsic transfer, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26510", "description": "Cross intrinsic transfer, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1120.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2314", "description": "Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1001.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58545", "description": "Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1441.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26357", "description": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1531.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, tip, cane, crutch, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4637", "description": "Replacement, tip, cane, crutch, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complete (CBC), automated (HgB, Hct, RBC, WBC; without platelet count)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0307", "description": "Complete (CBC), automated (HgB, Hct, RBC, WBC; without platelet count)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77012", "description": "Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23350", "description": "Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION IMMUNE GLOBULIN 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1554", "description": "INJECTION IMMUNE GLOBULIN 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43653", "description": "Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1028.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sickling of RBC, reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85660", "description": "Sickling of RBC, reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75893", "description": "Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19085", "description": "BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; hand or foot, except digital nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64782", "description": "Excision of neuroma; hand or foot, except digital nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 771.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27690", "description": "Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial extensors into midfoot)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1074.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27337", "description": "Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 738.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovesical fistula; with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45805", "description": "Closure of rectovesical fistula; with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2545.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58110", "description": "Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27680", "description": "Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 724.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31626", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96130", "description": "PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cosyntropin, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0834", "description": "Injection, cosyntropin, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27759", "description": "Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1648.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36568", "description": "Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9987", "description": "Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 109.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery,procedure,or test with analysis,review", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93286", "description": "Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery,procedure,or test with analysis,review", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of intra-aortic balloon assist device through the ascending aorta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33973", "description": "Insertion of intra-aortic balloon assist device through the ascending aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Non-cardiac vascular flow imaging (ie, angiography, venography)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78445", "description": "Non-cardiac vascular flow imaging (ie, angiography, venography)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid stimulating hormone (TSH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84443", "description": "Thyroid stimulating hormone (TSH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31541", "description": "Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 392.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87077", "description": "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTECTOMY STERNUM PARTIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21620", "description": "OSTECTOMY STERNUM PARTIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 905.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE TRGT SEQ ALYS CYP2D6-2D7 HYBRID GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0072U", "description": "CYP2D6 GENE TRGT SEQ ALYS CYP2D6-2D7 HYBRID GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dibucaine number", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82638", "description": "Dibucaine number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NDSC HRV UXTR ART 1 SGM CAB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33509", "description": "NDSC HRV UXTR ART 1 SGM CAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Consultation and report on referred slides prepared elsewhere", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88321", "description": "Consultation and report on referred slides prepared elsewhere", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ILIAC&/FEM ART ANGIO NONSEL AT TIME CARD CATH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0278", "description": "ILIAC&/FEM ART ANGIO NONSEL AT TIME CARD CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95905", "description": "MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7017", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0179", "description": "PHYS RE-CERT MCR-COVR HOM HLTH SRVC RE-CERT PRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27536", "description": "Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1959.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY EST LOW 20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98013", "description": "SYNCH AUDIO-ONLY EST LOW 20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; tibia and fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27709", "description": "Osteotomy; tibia and fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1880.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCPT REMT ASYNC IMG<10 MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9868", "description": "RCPT REMT ASYNC IMG<10 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64461", "description": "Paravertebral block (PVB) (paraspinous block), thoracic; single injection site (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86480", "description": "Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of ileoanal reservoir with ileostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45136", "description": "Excision of ileoanal reservoir with ileostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2872.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81298", "description": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 962.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 114.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26034", "description": "Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 939.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL SHORT LEG CAST WALKING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29425", "description": "APPL SHORT LEG CAST WALKING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMIODARONE HCL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0282", "description": "AMIODARONE HCL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOMATRIXF4X PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4411", "description": "AMNIOMATRIXF4X PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0669", "description": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DOXYCYCLINE HYCLATE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1271", "description": "INJ DOXYCYCLINE HYCLATE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manganese", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83785", "description": "Manganese", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SERPINA1 GENE ANALYSIS COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81332", "description": "SERPINA1 GENE ANALYSIS COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction external auditory canal for congenital atresia, single stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69320", "description": "Reconstruction external auditory canal for congenital atresia, single stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2521.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61698", "description": "Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8331.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1022.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93790", "description": "AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49326", "description": "Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of needle for intraosseous infusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36680", "description": "Placement of needle for intraosseous infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81318", "description": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33426", "description": "Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4065.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody identification, RBC antibodies, each panel for each serum technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86870", "description": "Antibody identification, RBC antibodies, each panel for each serum technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of penetrating wound (separate procedure); neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20100", "description": "Exploration of penetrating wound (separate procedure); neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 984.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, methyldopate HCl, up to 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0210", "description": "Injection, methyldopate HCl, up to 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23473", "description": "Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2579.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, pneumonectomy; extrapleural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32445", "description": "Removal of lung, pneumonectomy; extrapleural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6011.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with biopsy; intertarsal or tarsometatarsal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28050", "description": "Arthrotomy with biopsy; intertarsal or tarsometatarsal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21196", "description": "Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2284.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Toe loop/holder, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0952", "description": "Toe loop/holder, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74210", "description": "RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cladribine, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9065", "description": "Injection, cladribine, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44720", "description": "Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1332.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 342.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59400", "description": "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4070.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45342", "description": "Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CP BXTR NOT THR EQ J0736 300 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0737", "description": "INJ CP BXTR NOT THR EQ J0736 300 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26546", "description": "Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1773.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CHEMO RX CYTOX CSC 14 RX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0435U", "description": "ONC CHEMO RX CYTOX CSC 14 RX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4550.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharyngoplasty (plastic or reconstructive operation on pharynx)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42950", "description": "Pharyngoplasty (plastic or reconstructive operation on pharynx)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1297.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36560", "description": "Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 665.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32556", "description": "Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Streptokinase, antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86590", "description": "Streptokinase, antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular lens, per lens, trifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2321", "description": "Lenticular lens, per lens, trifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroidectomy, including substernal thyroid; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60271", "description": "Thyroidectomy, including substernal thyroid; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1695.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroplasty, plastic operation on ureter (eg, stricture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50700", "description": "Ureteroplasty, plastic operation on ureter (eg, stricture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1454.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leukocyte histamine release test (LHR)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86343", "description": "Leukocyte histamine release test (LHR)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95939", "description": "Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR PARASTOMAL HRNA NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49622", "description": "RPR PARASTOMAL HRNA NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1548.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS/PASS ANKLE DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1816", "description": "SPS/PASS ANKLE DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31297", "description": "NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80422", "description": "Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastopexy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19316", "description": "Mastopexy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1304.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22869", "description": "INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 683.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC URTHL MRNA XPRSN 6 SNP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0420U", "description": "ONC URTHL MRNA XPRSN 6 SNP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1992.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36555", "description": "Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MPL GENE COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81338", "description": "MPL GENE COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74330", "description": "Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M NEW PT 30 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0662", "description": "TEAM REMOTE E/M NEW PT 30 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19126", "description": "EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96133", "description": "NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0666", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA GU PTHGN 20BCT&FNG ORG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0321U", "description": "IADNA GU PTHGN 20BCT&FNG ORG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 952.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of lip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40490", "description": "Biopsy of lip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV&VAGINITIS DNA ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81515", "description": "NFCT DS BV&VAGINITIS DNA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93454", "description": "Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CATH SLCT P ANGRPH MAPCA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93575", "description": "NJX CATH SLCT P ANGRPH MAPCA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66682", "description": "Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 979.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54057", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactoferrin, fecal; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83631", "description": "Lactoferrin, fecal; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32606", "description": "Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TRCT MRI-US 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55711", "description": "BX PRST8 TRCT MRI-US 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33924", "description": "LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 472.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15050", "description": "Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 761.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL PT ACTIV ECG TRANSMIS W/R&I NDL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0200T", "description": "PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3488.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair recurrent inguinal hernia, any age; reducible", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49520", "description": "Repair recurrent inguinal hernia, any age; reducible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1109.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9981", "description": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33019", "description": "PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; larynx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95865", "description": "Needle electromyography; larynx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII (antihemophilic factor, recombinant), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7188", "description": "Injection, factor VIII (antihemophilic factor, recombinant), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2700.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43832", "description": "Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1799.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND N/S W>=3\"<5\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6443", "description": "CONFORM BAND N/S W>=3\"<5\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nail bed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11760", "description": "Repair of nail bed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Xenon Xe-133 gas, diagnostic, per 10 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9558", "description": "Xenon Xe-133 gas, diagnostic, per 10 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 449.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0046", "description": "Elevating legrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acetylcholinesterase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82013", "description": "Acetylcholinesterase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3478.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32555", "description": "Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33775", "description": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3185.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD SUPRASCAPULAR NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64418", "description": "INJECTION AA&/STRD SUPRASCAPULAR NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74283", "description": "Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90912", "description": "BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 592.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91112", "description": "Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2954.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61783", "description": "Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS PTHGN-SNA 11VIR&4BCT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0563U", "description": "NFCT DS PTHGN-SNA 11VIR&4BCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Otolaryngologic examination under general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92502", "description": "Otolaryngologic examination under general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ALZ DS BAMYL PRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0503U", "description": "NEURO ALZ DS BAMYL PRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ROZANOLIXIZUMAB-NOLI 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9333", "description": "INJECTION ROZANOLIXIZUMAB-NOLI 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of transplanted intestinal allograft, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44137", "description": "Removal of transplanted intestinal allograft, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2374.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2602", "description": "General use wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2616", "description": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 613.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23575", "description": "Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 679.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIN CARE MGMT STAFF EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99427", "description": "PRIN CARE MGMT STAFF EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, mitral valve, with cardiopulmonary bypass;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33425", "description": "Valvuloplasty, mitral valve, with cardiopulmonary bypass;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4643.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75630", "description": "Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3639.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 193.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60522", "description": "Thymectomy, partial or total; sternal split or transthoracic approach, with radical mediastinal dissection (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2365.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM NGTS FFPE 600GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0538U", "description": "ONC SOL TUM NGTS FFPE 600GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4484.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hip, unilateral, with pelvis when performed; 1 view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73501", "description": "Radiologic examination, hip, unilateral, with pelvis when performed; 1 view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic apheresis; for white blood cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36511", "description": "Therapeutic apheresis; for white blood cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2385", "description": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "O DVC/APPL NM ELECT STIM TNG MUSC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0491", "description": "O DVC/APPL NM ELECT STIM TNG MUSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG SYNVCT LMTD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29875", "description": "ARTHRS KNEE SURG SYNVCT LMTD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 850.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2225", "description": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (colorectal) screening, biochemical", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0163U", "description": "Oncology (colorectal) screening, biochemical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8304.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TENSIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4146", "description": "TENSIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synthetic sentence identification test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92576", "description": "Synthetic sentence identification test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADM STD EVD-BAS SOC DET RISK 5-15MI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0136", "description": "ADM STD EVD-BAS SOC DET RISK 5-15MI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral resection; of postoperative bladder neck contracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52640", "description": "Transurethral resection; of postoperative bladder neck contracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 529.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ectropion; extensive (eg, tarsal strip operations)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67917", "description": "Repair of ectropion; extensive (eg, tarsal strip operations)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 679.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOBAND/GUARDIAN PER SQ CENTIMETR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4151", "description": "AMNIOBAND/GUARDIAN PER SQ CENTIMETR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, surgical; synovectomy, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29845", "description": "Arthroscopy, wrist, surgical; synovectomy, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 976.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46261", "description": "Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 919.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Car seat/bed testing for airway integrity,for infants through 12 months of age,with continual clinical staff observation and continuous recording of pulse oximetry,heart rate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94781", "description": "Car seat/bed testing for airway integrity,for infants through 12 months of age,with continual clinical staff observation and continuous recording of pulse oximetry,heart rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1623.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of fibrous tuberosities, dentoalveolar structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41822", "description": "Excision of fibrous tuberosities, dentoalveolar structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31660", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; pars plana approach, with or without vitrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66852", "description": "Removal of lens material; pars plana approach, with or without vitrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1226.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; paraffin bath", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97018", "description": "Application of a modality to 1 or more areas; paraffin bath", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epikeratoplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65767", "description": "Epikeratoplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4396.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93623", "description": "Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1223.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52265", "description": "Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13152", "description": "Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26045", "description": "Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 810.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43270", "description": "EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of long leg cast (thigh to toes);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29345", "description": "Application of long leg cast (thigh to toes);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsaicin 8% patch, per sq cm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7336", "description": "Capsaicin 8% patch, per sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NAFCILLIN SODIUM 20 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2290", "description": "INJ NAFCILLIN SODIUM 20 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, adrenal, unilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75731", "description": "Angiography, adrenal, unilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84377", "description": "Sugars (mono-, di-, and oligosaccharides); multiple qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2362", "description": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External defibrillator with integrated electrocardiogram analysis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0617", "description": "External defibrillator with integrated electrocardiogram analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 649.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4034", "description": "Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35151", "description": "DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2055.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERPJ/EXPLNAJ RSLT PSYC XM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90887", "description": "INTERPJ/EXPLNAJ RSLT PSYC XM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, adapter for amputee, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0959", "description": "Manual wheelchair accessory, adapter for amputee, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61798", "description": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2532.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of posterior nonsegmental instrumentation (eg, Harrington rod)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22850", "description": "Removal of posterior nonsegmental instrumentation (eg, Harrington rod)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1319.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63281", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3875.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58145", "description": "Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 886.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OVR DNA WHOLE GEN W/5HMC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0507U", "description": "ONC OVR DNA WHOLE GEN W/5HMC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1740.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78832", "description": "RP LOCLZJ TUM SPECT CT 2AREA 1D IMG/1 AR IMG>2+D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1246.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33496", "description": "Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2881.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRLNG HM EM BYD TT PR SRVC;EA 15 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0318", "description": "PRLNG HM EM BYD TT PR SRVC;EA 15 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45389", "description": "Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR 1+ORAL ONC RX&SBSTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0110U", "description": "RX MNTR 1+ORAL ONC RX&SBSTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35570", "description": "Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trunk-tibial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2456.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC STRS DO MRNA 72 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0292U", "description": "PSYC STRS DO MRNA 72 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2632.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13121", "description": "Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 374.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ferric derisomaltose, 10", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1437", "description": "Injection, ferric derisomaltose, 10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; rubella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86762", "description": "Antibody; rubella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43108", "description": "TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7487.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDECABTAGENE VICLEUCEL CAR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2055", "description": "IDECABTAGENE VICLEUCEL CAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 792143.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0673", "description": "Segmental gradient pressure pneumatic appliance, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22612", "description": "ARTHRD PST TQ 1NTRSPC LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2695.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PENILE CONTRACTUR DEVIC MANU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0201", "description": "PENILE CONTRACTUR DEVIC MANU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1442", "description": "Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48150", "description": "Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5230.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64615", "description": "Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation syringe, bulb or piston, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4322", "description": "Irrigation syringe, bulb or piston, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21295", "description": "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG SP LNR UP EXT ANY SZ/L E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6595", "description": "GD CMP BDG SP LNR UP EXT ANY SZ/L E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Large volume nebulizer, disposable, unfilled, used with aerosol compressor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7007", "description": "Large volume nebulizer, disposable, unfilled, used with aerosol compressor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STCK THIGH L 18-30MMHG CST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6556", "description": "GD CMP STCK THIGH L 18-30MMHG CST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 465.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mitomycin, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9280", "description": "Injection, mitomycin, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98970", "description": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, mycobacterial, definitive identification, each isolate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87118", "description": "Culture, mycobacterial, definitive identification, each isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26676", "description": "Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 872.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION FARICIMAB-SVOA 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2777", "description": "INJECTION FARICIMAB-SVOA 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX OPN REVJ PORT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43886", "description": "GSTR RSTCV PX OPN REVJ PORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cidofovir, 375 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0740", "description": "Injection, cidofovir, 375 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPPL AND ACCESS LUNG EXPAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7021", "description": "SUPPL AND ACCESS LUNG EXPAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHORIOFIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4412", "description": "CHORIOFIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0518T", "description": "Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 471.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43334", "description": "Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2128.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88185", "description": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34813", "description": "Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 388.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28046", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1153.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; influenza virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86710", "description": "Antibody; influenza virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; axillary-axillary", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35518", "description": "Bypass graft, with vein; axillary-axillary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1902.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, normal saline solution, 1,000 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7030", "description": "Infusion, normal saline solution, 1,000 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair sinus of Valsalva fistula, with cardiopulmonary bypass;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33702", "description": "Repair sinus of Valsalva fistula, with cardiopulmonary bypass;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2667.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC ST RPR THRC/AA X CRSG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33895", "description": "EVASC ST RPR THRC/AA X CRSG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1228.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic belt/harness/boot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0944", "description": "Pelvic belt/harness/boot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUCTION PUMP EXT MGMT SYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2001", "description": "SUCTION PUMP EXT MGMT SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54332", "description": "1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1582.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95180", "description": "Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66179", "description": "Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1598.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23935", "description": "Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 887.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34833", "description": "OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 651.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57452", "description": "Colposcopy of the cervix including upper/adjacent vagina;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95250", "description": "CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oropharyngeal suction catheter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4628", "description": "Oropharyngeal suction catheter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81165", "description": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24006", "description": "Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1189.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, icatibant, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1744", "description": "Injection, icatibant, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREPJ SKN CLL SSP AGRFT EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15014", "description": "PREPJ SKN CLL SSP AGRFT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LABETALOL HCL HIKMA 5MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1921", "description": "INJ LABETALOL HCL HIKMA 5MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LEVOTHYROXINE HIKMA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0652", "description": "INJ LEVOTHYROXINE HIKMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, eye, for detection of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70030", "description": "Radiologic examination, eye, for detection of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Zinc paste impregnated bandage, nonelastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6456", "description": "Zinc paste impregnated bandage, nonelastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88372", "description": "Protein analysis of tissue by Western Blot, with interpretation and report; immunological probe for band identification, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy, wrist (eg, contracture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25085", "description": "Capsulotomy, wrist (eg, contracture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 761.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Whirlpool, nonportable (built-in type)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1310", "description": "Whirlpool, nonportable (built-in type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4590.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG SPLENORENAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35636", "description": "BPG SPLENORENAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2657.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibuloplasty; complex (including ridge extension, muscle repositioning)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40845", "description": "Vestibuloplasty; complex (including ridge extension, muscle repositioning)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1844.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85610", "description": "Prothrombin time;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64778", "description": "Excision of neuroma; digital nerve, each additional digit (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 348.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cesarean delivery only; including postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59515", "description": "Cesarean delivery only; including postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2284.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AVULSION NAIL PLATE SIMPLE 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11730", "description": "AVULSION NAIL PLATE SIMPLE 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sinuses, paranasal, complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70220", "description": "Radiologic examination, sinuses, paranasal, complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat attachment, walker", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0156", "description": "Seat attachment, walker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg splint, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4045", "description": "Cast supplies, short leg splint, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION LANREOTIDE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1932", "description": "INJECTION LANREOTIDE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent hemoglobin A1c level greater than 9.0% (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3046F", "description": "Most recent hemoglobin A1c level greater than 9.0% (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15272", "description": "APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive computer-based motion analysis by video-taping and 3D kinematics;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96000", "description": "Comprehensive computer-based motion analysis by video-taping and 3D kinematics;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; mucormycosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86732", "description": "Antibody; mucormycosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2212", "description": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty, cricoid split, without graft placement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31587", "description": "Laryngoplasty, cricoid split, without graft placement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1924.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanometry (impedance testing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92567", "description": "Tympanometry (impedance testing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50080", "description": "Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; up to 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1097.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; reticulocyte, automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85045", "description": "Blood count; reticulocyte, automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "W/C MANUAL SWINGAWAY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1028", "description": "W/C MANUAL SWINGAWAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration into the peritoneal cavity via indwelling port or catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96446", "description": "Chemotherapy administration into the peritoneal cavity via indwelling port or catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PHYS E&M DIABETIC NEUROPATHY W/LOPS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0245", "description": "INITIAL PHYS E&M DIABETIC NEUROPATHY W/LOPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteochondral allograft, knee, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27415", "description": "Osteochondral allograft, knee, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2261.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-d/c h vst ext pt 75 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2013", "description": "Post-d/c h vst ext pt 75 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thoracic spine; with contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72129", "description": "Computed tomography, thoracic spine; with contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GEM HCI NOT THR EQ J9201 200 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9196", "description": "INJ GEM HCI NOT THR EQ J9201 200 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1240", "description": "Lightweight wheelchair, detachable arms, (desk or full-length) swing-away detachable, elevating legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0045U", "description": "ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95940", "description": "IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95958", "description": "Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 964.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, for use with commode chair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0175", "description": "Footrest, for use with commode chair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filters for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0500", "description": "Filters for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG COMPLETE STD PHYS/QHP>84 HR W/O VID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95725", "description": "EEG COMPLETE STD PHYS/QHP>84 HR W/O VID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 420.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ HEPARIN SODI NOT TX J1644/1000U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1643", "description": "INJ HEPARIN SODI NOT TX J1644/1000U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sex hormone binding globulin (SHBG)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84270", "description": "Sex hormone binding globulin (SHBG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92132", "description": "Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN SKULL FOR DRAINAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61315", "description": "OPEN SKULL FOR DRAINAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3825.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33390", "description": "Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3225.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0562T", "description": "ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TCAT PLMT NTRAC ST 1 LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92928", "description": "PRQ TCAT PLMT NTRAC ST 1 LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0850", "description": "Traction stand, freestanding, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31641", "description": "BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABETA42 & PTAU181 ECLIA CSF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0445U", "description": "ABETA42 & PTAU181 ECLIA CSF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, tilt only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1002", "description": "Wheelchair accessory, power seating system, tilt only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 695.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ENFORTUMAB VEDOTIN-EJFV 0.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9177", "description": "INJ ENFORTUMAB VEDOTIN-EJFV 0.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPR MED PGA EMBRYONIC TE QC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0555U", "description": "REPR MED PGA EMBRYONIC TE QC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ampicillin sodium/sulbactam sodium, per 1.5 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0295", "description": "Injection, ampicillin sodium/sulbactam sodium, per 1.5 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAOP HIPEC PX 1ST 60 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96547", "description": "INTRAOP HIPEC PX 1ST 60 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 597.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rabies vaccine, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90675", "description": "Rabies vaccine, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 446.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20816", "description": "Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3300.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9966", "description": "Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, ischial pressure ulcer, with skin flap closure;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15944", "description": "Excision, ischial pressure ulcer, with skin flap closure;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1517.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51555", "description": "Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1976.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meat fibers, feces", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89160", "description": "Meat fibers, feces", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81297", "description": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 319.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 31374.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, extremity, bilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75716", "description": "Angiography, extremity, bilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95705", "description": "EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 216.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0187", "description": "Water pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33676", "description": "Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3435.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59855", "description": "INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1008", "description": "Wheelchair accessory, power seating system, combination tilt and recline, with power shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1535.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy-duty", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0181", "description": "Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy-duty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87632", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cyst or adenoma of thyroid, or transection of isthmus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60200", "description": "Excision of cyst or adenoma of thyroid, or transection of isthmus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1115.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhytidectomy; glabellar frown lines", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15826", "description": "Rhytidectomy; glabellar frown lines", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2125.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15825", "description": "Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2429.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99375", "description": "SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of catheter, aorta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36200", "description": "Introduction of catheter, aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, ultrasonic, large volume", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0575", "description": "Nebulizer, ultrasonic, large volume", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38572", "description": "Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1475.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96156", "description": "HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with faceplate attached, rubber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4380", "description": "Ostomy pouch, urinary, with faceplate attached, rubber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scraping of cornea, diagnostic, for smear and/or culture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65430", "description": "Scraping of cornea, diagnostic, for smear and/or culture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION GIVOSIRAN 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0223", "description": "INJECTION GIVOSIRAN 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81538", "description": "ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4306.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; application of tissue glue, wounds of cornea and/or sclera", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65286", "description": "Repair of laceration; application of tissue glue, wounds of cornea and/or sclera", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 725.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; infant with brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88012", "description": "Necropsy (autopsy), gross examination only; infant with brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0438", "description": "Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2201", "description": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90744", "description": "Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cryofibrinogen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82585", "description": "Cryofibrinogen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28730", "description": "Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1198.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurectomy, hamstring muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27325", "description": "Neurectomy, hamstring muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 969.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1571", "description": "Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMERIC AMNION AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4306", "description": "AMERIC AMNION AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15630", "description": "Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 548.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81334", "description": "RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49606", "description": "Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating room", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1940.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; cholecystectomy with cholangiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47563", "description": "Laparoscopy, surgical; cholecystectomy with cholangiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1248.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intra-atrial recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93602", "description": "Intra-atrial recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27065", "description": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial, includes autograft, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 911.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, disrupted ligament, ankle; collateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27695", "description": "Repair, primary, disrupted ligament, ankle; collateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 825.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUTRLZG ANTB SARSCOV2 SCR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86408", "description": "NEUTRLZG ANTB SARSCOV2 SCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of tendon, flexor, hand or finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26478", "description": "Lengthening of tendon, flexor, hand or finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1162.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0082", "description": "Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99177", "description": "Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid seat insert", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0992", "description": "Manual wheelchair accessory, solid seat insert", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMM CNSL NOT ADMN SM>10<20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90483", "description": "IMM CNSL NOT ADMN SM>10<20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of breast implant on same day of mastectomy (ie, immediate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19340", "description": "Insertion of breast implant on same day of mastectomy (ie, immediate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1253.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardioversion, elective, electrical conversion of arrhythmia; external", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92960", "description": "Cardioversion, elective, electrical conversion of arrhythmia; external", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASY HYDROXYCHLOROQUINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80220", "description": "DRUG ASY HYDROXYCHLOROQUINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0001", "description": "Standard wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, elosulfase alfa, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1322", "description": "Injection, elosulfase alfa, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 441.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis A antibody (HAAb), IgM antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86709", "description": "Hepatitis A antibody (HAAb), IgM antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34101", "description": "Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 994.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of patellar dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27560", "description": "Closed treatment of patellar dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ RITUXIMAB-PVVR BIOSIMILAR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5119", "description": "INJ RITUXIMAB-PVVR BIOSIMILAR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ROTAVIRUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87425", "description": "ROTAVIRUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36825", "description": "Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5512", "description": "FOR DIAB ONLY MX DNSITY INSRT DIR FORMD PRFAB EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64643", "description": "Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of spermatic cord (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55520", "description": "Excision of lesion of spermatic cord (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 816.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52344", "description": "Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 565.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal biophysical profile; without non-stress testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76819", "description": "Fetal biophysical profile; without non-stress testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81173", "description": "AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ATROPINE FRESENIUS TE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0463", "description": "INJ ATROPINE FRESENIUS TE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMAPURE PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4152", "description": "DERMAPURE PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39000", "description": "Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 887.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2 VAC 50 MCG/0.5ML IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91322", "description": "SARSCOV2 VAC 50 MCG/0.5ML IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN RCR > 10 NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49618", "description": "RPR AA HRN RCR > 10 NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2070.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33947", "description": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-arterial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 556.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC FPVT STENT SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37267", "description": "REVSC EVSC FPVT STENT SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 731.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB PE SFLT-1/PLGF IA SRM/PLS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0524U", "description": "OB PE SFLT-1/PLGF IA SRM/PLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duodenal motility (manometric) study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91022", "description": "Duodenal motility (manometric) study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, infratentorial or posterior fossa; for excision of brain abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61522", "description": "Craniectomy, infratentorial or posterior fossa; for excision of brain abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4027.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2201", "description": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phlebotomy, therapeutic (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99195", "description": "Phlebotomy, therapeutic (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20962", "description": "Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4364.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61615", "description": "Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5301.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50953", "description": "URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 501.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; urine (eg, microalbumin), quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82043", "description": "Albumin; urine (eg, microalbumin), quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45388", "description": "Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0956", "description": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High strength, lightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0004", "description": "High strength, lightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tongs or halo applied by another individual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20665", "description": "Removal of tongs or halo applied by another individual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN SOLID TUM ALYS DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0422U", "description": "ONC PAN SOLID TUM ALYS DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2914.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronoidectomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21070", "description": "Coronoidectomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision mastoidectomy; resulting in complete mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69601", "description": "Revision mastoidectomy; resulting in complete mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1596.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patellectomy or hemipatellectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27350", "description": "Patellectomy or hemipatellectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1112.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63005", "description": "LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2231.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL PT ACTIVTD ECG DWNLD W/R&I 48 HR DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0163", "description": "DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Labyrinthectomy; with mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69910", "description": "Labyrinthectomy; with mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1540.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; electrical stimulation (unattended)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97014", "description": "Application of a modality to 1 or more areas; electrical stimulation (unattended)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0519T", "description": "Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1726.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR EMPTG 7 TIMED BRTH SPEC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0106U", "description": "GSTR EMPTG 7 TIMED BRTH SPEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6830.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66983", "description": "Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1313.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAM CERVIX UTERI DRG COLP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57465", "description": "CAM CERVIX UTERI DRG COLP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11306", "description": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87498", "description": "Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0465", "description": "Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2040.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43192", "description": "Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27472", "description": "Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2077.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81212", "description": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; 185delAG, 5385insC, 6174delT variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 660.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15101", "description": "SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; clavicle, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73000", "description": "Radiologic examination; clavicle, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, isatuximab-irfc, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9227", "description": "Injection, isatuximab-irfc, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1214.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21255", "description": "Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2152.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 313.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 674.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "C-peptide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84681", "description": "C-peptide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, maxillofacial area; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70486", "description": "Computed tomography, maxillofacial area; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95145", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47780", "description": "Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4167.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Diphtheria", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86648", "description": "Antibody; Diphtheria", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY POSACONAZOLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80187", "description": "DRUG ASSAY POSACONAZOLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20932", "description": "OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1167.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92265", "description": "Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87487", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or destruction of lesion of pharynx, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42808", "description": "Excision or destruction of lesion of pharynx, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboplastin inhibition, tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85705", "description": "Thromboplastin inhibition, tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27397", "description": "Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1537.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92134", "description": "Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retina", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47760", "description": "Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3787.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3601.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Episiotomy or vaginal repair, by other than attending", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59300", "description": "Episiotomy or vaginal repair, by other than attending", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36596", "description": "Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting inhibitors or anticoagulants; protein S, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85305", "description": "Clotting inhibitors or anticoagulants; protein S, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive or nonadhesive; disk or foam pad", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5126", "description": "Adhesive or nonadhesive; disk or foam pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CEFAZOLIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0687", "description": "INJ CEFAZOLIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor IX complex, per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7194", "description": "Factor IX complex, per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61641", "description": "Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92549", "description": "CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HISTOPLASMA CAPSUL AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87385", "description": "HISTOPLASMA CAPSUL AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99422", "description": "ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Annual wellness visit, includes a personalized prevention plan of service (PPS), subsequent visit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0439", "description": "Annual wellness visit, includes a personalized prevention plan of service (PPS), subsequent visit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1170", "description": "Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.61, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27245", "description": "Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2007.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92997", "description": "Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 981.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4428", "description": "Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC FPVT ATHRC SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37271", "description": "REVSC EVSC FPVT ATHRC SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 744.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, methocarbamol, up to 10 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2800", "description": "Injection, methocarbamol, up to 10 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of urethrovaginal fistula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57310", "description": "Closure of urethrovaginal fistula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 786.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "T cells; absolute CD4 count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86361", "description": "T cells; absolute CD4 count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, inner cannula", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4623", "description": "Tracheostomy, inner cannula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46746", "description": "Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6643.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADV PRIM CARE MGMT LVL 1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0556", "description": "ADV PRIM CARE MGMT LVL 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13131", "description": "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 355.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drive belt for power wheelchair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0098", "description": "Drive belt for power wheelchair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCEED TL MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4353", "description": "XCEED TL MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LUNG 3 PRTN BMRK IA PLSM ALG RSK SCOR MALIG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0092U", "description": "ONC LUNG 3 PRTN BMRK IA PLSM ALG RSK SCOR MALIG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3732.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37722", "description": "Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 774.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of hip prosthesis; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27090", "description": "Removal of hip prosthesis; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1387.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40816", "description": "Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 492.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35011", "description": "DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1673.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14000", "description": "Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 827.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, thigh, through femur, any level;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27590", "description": "Amputation, thigh, through femur, any level;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1313.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Concentration (any type), for infectious agents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87015", "description": "Concentration (any type), for infectious agents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home sleep study test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0398", "description": "Home sleep study test (HST) with type II portable monitor, unattended; minimum of 7 channels: EEG, EOG, EMG, ECG/heart rate, airflow, respiratory effort and oxygen saturation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 236.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ FOREHEAD W/AUTOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21180", "description": "RCNSTJ FOREHEAD W/AUTOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2666.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0862", "description": "Power wheelchair, group 3 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1944.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS RESPIR NFCTJ MXA&CRP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0442U", "description": "NFCT DS RESPIR NFCTJ MXA&CRP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33730", "description": "Complete repair of anomalous pulmonary venous return (supracardiac, intracardiac, or infracardiac types)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3427.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0141", "description": "Walker, rigid, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic belt/harness/boot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0944", "description": "Pelvic belt/harness/boot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY NEW HIGH 60", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98011", "description": "SYNCH AUDIO-ONLY NEW HIGH 60", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heavy-duty wheelchair, detachable arms (desk or full-length) elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1280", "description": "Heavy-duty wheelchair, detachable arms (desk or full-length) elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 280.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embryo transfer, intrauterine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58974", "description": "Embryo transfer, intrauterine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 487.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REV RPLC/RMV THRC VRT TETHRG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22838", "description": "REV RPLC/RMV THRC VRT TETHRG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2909.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trypsin; feces, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84488", "description": "Trypsin; feces, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27066", "description": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep (subfascial), includes autograft, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1360.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor XIII A-subunit, (recombinant), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7181", "description": "Injection, factor XIII A-subunit, (recombinant), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10004", "description": "Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Galectin-3", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82777", "description": "Galectin-3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52353", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 598.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, elbow to shoulder, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24310", "description": "Tenotomy, open, elbow to shoulder, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 789.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION CRIZANLIZUMAB-TMCA 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0791", "description": "INJECTION CRIZANLIZUMAB-TMCA 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECT METOPROLOL TARTRATE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0616", "description": "INJECT METOPROLOL TARTRATE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30450", "description": "Rhinoplasty, secondary; major revision (nasal tip work and osteotomies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95710", "description": "EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1556.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer of tendon to restore intrinsic function; ring and small finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26497", "description": "Transfer of tendon to restore intrinsic function; ring and small finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1577.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial, with removal of terminal ileum with ileocolostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44160", "description": "Colectomy, partial, with removal of terminal ileum with ileocolostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2100.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REGENELINK AMNIOTIC MEM ALLO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4315", "description": "REGENELINK AMNIOTIC MEM ALLO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76377", "description": "3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, tarsal bones, other than calcaneus or talus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28304", "description": "Osteotomy, tarsal bones, other than calcaneus or talus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1028.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61592", "description": "ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5686.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54435", "description": "Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 671.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERM-MAXX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4238", "description": "DERM-MAXX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevation of depressed skull fracture; with repair of dura and/or debridement of brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62010", "description": "Elevation of depressed skull fracture; with repair of dura and/or debridement of brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2870.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0801", "description": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2061.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Puncture of shunt tubing or reservoir for aspiration or injection procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61070", "description": "Puncture of shunt tubing or reservoir for aspiration or injection procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Monitor/display module for use with electric ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0483", "description": "Monitor/display module for use with electric ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33800.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharyngostomy (fistulization of pharynx, external for feeding)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42955", "description": "Pharyngostomy (fistulization of pharynx, external for feeding)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1231.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of stomach, by laparotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43605", "description": "Biopsy of stomach, by laparotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1463.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D PERIANAL ABSCESS SUPFC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46050", "description": "I D PERIANAL ABSCESS SUPFC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical closure tracheostomy or fistula; without plastic repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31820", "description": "Surgical closure tracheostomy or fistula; without plastic repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 530.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26615", "description": "Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 978.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SINUS TRACT THERAPEUTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20500", "description": "NJX SINUS TRACT THERAPEUTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27742", "description": "Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27824", "description": "Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 568.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25151", "description": "Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 975.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2602", "description": "General use wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0850", "description": "Power wheelchair, group 3 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1694.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ IMMPHENTIV 20 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2373", "description": "INJ IMMPHENTIV 20 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81215", "description": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of vesicovaginal fistula; vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57320", "description": "Closure of vesicovaginal fistula; vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 890.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 904.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36516", "description": "Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma reinfusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26742", "description": "Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 610.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Temporomandibular joint arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70332", "description": "Temporomandibular joint arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0294", "description": "Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of extraparenchymal lesion of testis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54512", "description": "Excision of extraparenchymal lesion of testis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 857.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93922", "description": "NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43260", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11443", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD COMPR GMT GLV PAD NT USE CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6521", "description": "GD COMPR GMT GLV PAD NT USE CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 752.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35082", "description": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3578.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33777", "description": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3224.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0781", "description": "Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION EPINEPHRINE NOS 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0165", "description": "INJECTION EPINEPHRINE NOS 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>7D<15D RECORDING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93246", "description": "EXT ECG>7D<15D RECORDING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27327", "description": "Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 555.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLOTUFOLASTAT F18 DIAG 1 MCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9608", "description": "FLOTUFOLASTAT F18 DIAG 1 MCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62147", "description": "Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2566.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM NGS DNA 517 GENS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0543U", "description": "ONC SOL TUM NGS DNA 517 GENS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4484.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90673", "description": "Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, H style, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0039", "description": "Leg strap, H style, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Female external urinary collection device; meatal cup, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4327", "description": "Female external urinary collection device; meatal cup, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ESMOLOL HCL 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1805", "description": "INJECTION ESMOLOL HCL 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63091", "description": "VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 291.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optokinetic nystagmus test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92534", "description": "Optokinetic nystagmus test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95923", "description": "TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33988", "description": "Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1292.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cabazitaxel, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9043", "description": "Injection, cabazitaxel, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 326.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1226", "description": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYCOPHEN MOFETIL FOR SUSP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7528", "description": "MYCOPHEN MOFETIL FOR SUSP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93283", "description": "PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antepartum care only; 4-6 visits", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59425", "description": "Antepartum care only; 4-6 visits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 724.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 642.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77334", "description": "Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, freestanding, complete with grab bar", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0912", "description": "Trapeze bar, heavy-duty, for patient weight capacity greater than 250 pounds, freestanding, complete with grab bar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24066", "description": "Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 749.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "All potassium hydroxide (KOH) preparations", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0112", "description": "All potassium hydroxide (KOH) preparations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27825", "description": "CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 858.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC EA ADD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22614", "description": "ARTHRD PST TQ 1NTRSPC EA ADD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 653.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2211", "description": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatase, acid; prostatic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84066", "description": "Phosphatase, acid; prostatic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Brucella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86622", "description": "Antibody; Brucella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87507", "description": "IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49010", "description": "Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1573.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7002.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection, diaphragm; with simple repair (eg, primary suture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39560", "description": "Resection, diaphragm; with simple repair (eg, primary suture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1375.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, without stand (table model), includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0200", "description": "Heat lamp, without stand (table model), includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal motility", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78258", "description": "Esophageal motility", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, tricuspid valve; without ring insertion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33463", "description": "Valvuloplasty, tricuspid valve; without ring insertion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5215.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2605", "description": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38550", "description": "Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 941.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42960", "description": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27556", "description": "Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1435.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of low imperforate anus; with anoperineal fistula (cut-back procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46715", "description": "Repair of low imperforate anus; with anoperineal fistula (cut-back procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1008.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31239", "description": "Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 913.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 164.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BACT&FNG GRAM NEG ORG ID & RX RESIST DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0142U", "description": "NFCT DS BACT&FNG GRAM NEG ORG ID & RX RESIST DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO BUR DL MEM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4365", "description": "AMNIO BUR DL MEM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FGFR3 GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0154U", "description": "FGFR3 GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 723.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology simulation-aided field setting; intermediate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77285", "description": "Therapeutic radiology simulation-aided field setting; intermediate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis at wrist; extensors of fingers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25301", "description": "Tenodesis at wrist; extensors of fingers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1070.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27091", "description": "Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2582.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0655", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracostomy; with rib resection for empyema", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32035", "description": "Thoracostomy; with rib resection for empyema", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ALZHEIMER QUAN IMAGING", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0207U", "description": "NEURO ALZHEIMER QUAN IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2341", "description": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 420.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with biopsy(ies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31576", "description": "Laryngoscopy, flexible; with biopsy(ies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrojejunostomy; with vagotomy, any type", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43825", "description": "Gastrojejunostomy; with vagotomy, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2251.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision inferior turbinate, partial or complete, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30130", "description": "Excision inferior turbinate, partial or complete, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 696.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89049", "description": "Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility, including interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, hip spica (one or both legs), adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4025", "description": "Cast supplies, hip spica (one or both legs), adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antitipping device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0971", "description": "Manual wheelchair accessory, antitipping device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.75, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR GMT TORSO/SHLDR CUSTM EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6569", "description": "GRAD COMPR GMT TORSO/SHLDR CUSTM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1420.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, azithromycin, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0456", "description": "Injection, azithromycin, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21557", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1588.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, PMMA, spherical, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2500", "description": "Contact lens, PMMA, spherical, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, foam rubber", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0272", "description": "Mattress, foam rubber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal fibronectin, cervicovaginal secretions, semi-quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82731", "description": "Fetal fibronectin, cervicovaginal secretions, semi-quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, for use with commode chair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0175", "description": "Footrest, for use with commode chair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enterovesical fistula; with intestine and/or bladder resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44661", "description": "Closure of enterovesical fistula; with intestine and/or bladder resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2549.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 PCA3&TMPRSS2- ERG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0113U", "description": "ONC PRST8 PCA3&TMPRSS2- ERG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47539", "description": "PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 633.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87562", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; carotid-vertebral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35508", "description": "Bypass graft, with vein; carotid-vertebral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2217.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0610", "description": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 138.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implanted material, anterior segment of eye", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65920", "description": "Removal of implanted material, anterior segment of eye", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1180.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, osseous survey, infant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77076", "description": "Radiologic examination, osseous survey, infant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phenobarbital", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80184", "description": "Phenobarbital", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27332", "description": "Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1103.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM & GRAFT ILIAC ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35131", "description": "DIR RPR ANEURYSM & GRAFT ILIAC ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2304.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65272", "description": "Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 518.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, tendon sheath, foot; extensor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28088", "description": "Synovectomy, tendon sheath, foot; extensor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 501.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93566", "description": "NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision mastoidectomy; resulting in modified radical mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69602", "description": "Revision mastoidectomy; resulting in modified radical mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1704.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43236", "description": "Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CARBOPLATIN AVYXA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9278", "description": "INJ CARBOPLATIN AVYXA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR EMPT IMG SM BWL COLON", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78266", "description": "GSTR EMPT IMG SM BWL COLON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 621.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45381", "description": "Colonoscopy, flexible; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19100", "description": "Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25001", "description": "Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 608.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROTOMY STRNCLAV JOINT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23106", "description": "ARTHROTOMY STRNCLAV JOINT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 875.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44390", "description": "Colonoscopy through stoma; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of perineal urinary extravasation; uncomplicated (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53080", "description": "Drainage of perineal urinary extravasation; uncomplicated (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 681.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; other source, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82042", "description": "Albumin; other source, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM RBC FNCLTY&DFRM SHR STRS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0305U", "description": "HEM RBC FNCLTY&DFRM SHR STRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 993.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REM MNTR PHYSIOL PARAM SETUP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99453", "description": "REM MNTR PHYSIOL PARAM SETUP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of anal fistula with rectal advancement flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46288", "description": "Closure of anal fistula with rectal advancement flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 985.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Negative pressure wound therapy electrical pump, stationary or portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2402", "description": "Negative pressure wound therapy electrical pump, stationary or portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1249.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostate specific antigen (PSA); free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84154", "description": "Prostate specific antigen (PSA); free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64486", "description": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32096", "description": "Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1390.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; greater occipital nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64744", "description": "Transection or avulsion of; greater occipital nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1010.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ranibizumab, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2778", "description": "Injection, ranibizumab, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagus, acid perfusion (Bernstein) test for esophagitis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91030", "description": "Esophagus, acid perfusion (Bernstein) test for esophagitis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AZTREONAM/AVIBACTAM 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0458", "description": "AZTREONAM/AVIBACTAM 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27691", "description": "TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1247.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STCK B KNEE 30-40MMHG CST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6553", "description": "GD CMP STCK B KNEE 30-40MMHG CST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pump for alternating pressure pad, for replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0182", "description": "Pump for alternating pressure pad, for replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99170", "description": "Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ P-ART REVSC 1 NM NT UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33900", "description": "PERQ P-ART REVSC 1 NM NT UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 931.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TX CLSD ELBOW DISLC REQ ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24605", "description": "TX CLSD ELBOW DISLC REQ ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 860.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76978", "description": "Ultrasound, targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5738.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "H PYLRI CLRTHMCN RST AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87513", "description": "H PYLRI CLRTHMCN RST AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99307", "description": "SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62263", "description": "PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 516.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; male, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0325", "description": "Urinal; male, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23465", "description": "Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1841.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMM CNSL NOT ADMN SM 3<10", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90482", "description": "IMM CNSL NOT ADMN SM 3<10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ceftazidime, per 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0713", "description": "Injection, ceftazidime, per 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27067", "description": "Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft requiring separate incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1719.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11444", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADENOVIRUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87301", "description": "ADENOVIRUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6246", "description": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0850", "description": "Traction stand, freestanding, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN MRI ALYS BRN W/O DX MRI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0865T", "description": "QUAN MRI ALYS BRN W/O DX MRI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RNL NDSC NFROT FULGURATION &/INCISION W/WO BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50576", "description": "RNL NDSC NFROT FULGURATION &/INCISION W/WO BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 855.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for craniosynostosis; single cranial suture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61550", "description": "Craniectomy for craniosynostosis; single cranial suture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2292.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy care kit for established tracheostomy", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4629", "description": "Tracheostomy care kit for established tracheostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prealbumin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84134", "description": "Prealbumin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81490", "description": "Autoimmune (rheumatoid arthritis), analysis of 12 biomarkers using immunoassays, utilizing serum, prognostic algorithm reported as a disease activity score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 647.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4235", "description": "Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BUPIVACAINE LIPOSOME", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0666", "description": "INJ BUPIVACAINE LIPOSOME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, with primary suture;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15950", "description": "Excision, trochanteric pressure ulcer, with primary suture;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1049.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DILTIAZEM IN 0.72% NACL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1164", "description": "INJ DILTIAZEM IN 0.72% NACL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ARIPIPRAZOLE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0402", "description": "INJECTION ARIPIPRAZOLE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52224", "description": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44212", "description": "Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3311.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sialolithotomy; parotid, extraoral or complicated intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42340", "description": "Sialolithotomy; parotid, extraoral or complicated intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 544.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67924", "description": "Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61539", "description": "Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4331.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28505", "description": "Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 825.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27457", "description": "Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1581.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transposition, ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58825", "description": "Transposition, ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1114.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 212.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI IBD IA QUAN DETER ADL LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0514U", "description": "GI IBD IA QUAN DETER ADL LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MATRION PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4201", "description": "MATRION PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99401", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESTORIGIN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4191", "description": "RESTORIGIN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0433", "description": "Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69990", "description": "Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 378.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 459.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87101", "description": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Volume measurement for timed collection, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81050", "description": "Volume measurement for timed collection, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT SCR SGL AMP 8 RNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0421U", "description": "ONC CLRCT SCR SGL AMP 8 RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 763.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tobramycin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80200", "description": "Tobramycin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99235", "description": "OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1077.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94016", "description": "Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN PQ NUC PUL 1/MLT LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62287", "description": "DCMPRN PQ NUC PUL 1/MLT LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81525", "description": "ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4674.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61576", "description": "TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7904.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 140.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEP B VAC 3AG 10MCG 3 DOS IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90759", "description": "HEP B VAC 3AG 10MCG 3 DOS IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWC GP 1 STD PORT CAP CHAIR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0814", "description": "PWC GP 1 STD PORT CAP CHAIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B screening in non-pregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0499", "description": "Hepatitis B screening in non-pregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POLYVALENT MULT ORG EA AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87451", "description": "POLYVALENT MULT ORG EA AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47536", "description": "EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with labral repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29916", "description": "Arthroscopy, hip, surgical; with labral repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1665.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82044", "description": "Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of pericardial cyst or tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33050", "description": "Resection of pericardial cyst or tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1764.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Maxillectomy; without orbital exenteration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31225", "description": "Maxillectomy; without orbital exenteration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2777.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray without drainage bag and without catheter (accessories only)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4310", "description": "Insertion tray without drainage bag and without catheter (accessories only)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; thermolabile", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83065", "description": "Hemoglobin; thermolabile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; subclavian-subclavian", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35511", "description": "Bypass graft, with vein; subclavian-subclavian", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1868.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX EPCNDYLR HUM FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24566", "description": "PRQ SKEL FIX EPCNDYLR HUM FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1239.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2396", "description": "Power wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEG PRESSURE WOUND THERAPY NON DME ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20553", "description": "NJX 1/MLT TRIGGER POINTS 3/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0484", "description": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystoenterostomy; Roux-en-Y with gastroenterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47741", "description": "Cholecystoenterostomy; Roux-en-Y with gastroenterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2533.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACC PT INS ID IU DRN DVC V REPLC EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4342", "description": "ACC PT INS ID IU DRN DVC V REPLC EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1317.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MICAFUNGIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2246", "description": "INJ MICAFUNGIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80436", "description": "Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21510", "description": "Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 838.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35683", "description": "Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34705", "description": "EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2512.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21206", "description": "Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1521.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrostomy, open; neonatal, for feeding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43831", "description": "Gastrostomy, open; neonatal, for feeding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1089.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOX CORD 1K-RT/CLARIX CORD 1K-SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4148", "description": "NEOX CORD 1K-RT/CLARIX CORD 1K-SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, includes pads", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0225", "description": "Hydrocollator unit, includes pads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 623.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trapeze bar, freestanding, complete with grab bar", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0940", "description": "Trapeze bar, freestanding, complete with grab bar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG CONST ALYS INTERROG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0209U", "description": "CYTOG CONST ALYS INTERROG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1180.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, muscle; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20200", "description": "Biopsy, muscle; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2625", "description": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 733.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44365", "description": "ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31238", "description": "Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of graft-enteric fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35870", "description": "Repair of graft-enteric fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2080.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9590.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; herpes simplex, type 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86695", "description": "Antibody; herpes simplex, type 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCREENING HEP C DETECT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0567", "description": "SCREENING HEP C DETECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31527", "description": "Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG ILIOILIAC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35663", "description": "BPG ILIOILIAC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2033.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2364", "description": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, 2 or more individuals (includes monitoring)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0239", "description": "Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, 2 or more individuals (includes monitoring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0961", "description": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of ileostomy; simple (release of superficial scar) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44312", "description": "Revision of ileostomy; simple (release of superficial scar) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1022.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 733.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78802", "description": "RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 419.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86885", "description": "Antihuman globulin test (Coombs test); indirect, qualitative, each reagent red cell", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of salivary duct, sialodochoplasty; secondary or complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42505", "description": "Plastic repair of salivary duct, sialodochoplasty; secondary or complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 723.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, mitral valve, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33430", "description": "Replacement, mitral valve, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4777.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22315", "description": "Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing by manipulation or traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19294", "description": "PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97606", "description": "NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33779", "description": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with removal of pulmonary band", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3914.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96567", "description": "PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, desmopressin acetate, per 1 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2597", "description": "Injection, desmopressin acetate, per 1 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG HI DNS FM PD ANY SZ/SH E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6601", "description": "GD CMP BDG HI DNS FM PD ANY SZ/SH E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33364", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2300.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96171", "description": "HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0070", "description": "Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0044", "description": "Footrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO 1ST TRURL PRST8 COMIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52443", "description": "CYSTO 1ST TRURL PRST8 COMIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15610", "description": "Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 418.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interpelviabdominal amputation (hindquarter amputation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27290", "description": "Interpelviabdominal amputation (hindquarter amputation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2636.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amino acids, 6 or more amino acids, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82139", "description": "Amino acids, 6 or more amino acids, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ocular implant secondary; after enucleation, muscles not attached to implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65135", "description": "Insertion of ocular implant secondary; after enucleation, muscles not attached to implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1343.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81300", "description": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88148", "description": "Cytopathology smears, cervical or vaginal; screening by automated system with manual rescreening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION NAIL NAIL MATRIX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11750", "description": "EXCISION NAIL NAIL MATRIX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transesophageal Doppler used for cardiac monitoring", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9157", "description": "Transesophageal Doppler used for cardiac monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27035", "description": "Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1770.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; leukocyte (WBC), automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85048", "description": "Blood count; leukocyte (WBC), automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Twin zygosity, genomic targeted sequence analysis of chromosome 2, using circulating cell-free fetal DNA in maternal blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0060U", "description": "Twin zygosity, genomic targeted sequence analysis of chromosome 2, using circulating cell-free fetal DNA in maternal blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of semilunar valve (aortic or pulmonary) by suture or patch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33602", "description": "Closure of semilunar valve (aortic or pulmonary) by suture or patch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2881.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance imaging, breast, without contrast material; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77046", "description": "Magnetic resonance imaging, breast, without contrast material; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transparent film, sterile, more than 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6259", "description": "Transparent film, sterile, more than 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TP53 GENE KNOWN FAMIL VRNT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81353", "description": "TP53 GENE KNOWN FAMIL VRNT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 285.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76536", "description": "Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID19 Immunoassay for infectious agent antibody(ies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86328", "description": "SARS-COV-2 COVID19 Immunoassay for infectious agent antibody(ies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of myelomeningocele; larger than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63706", "description": "Repair of myelomeningocele; larger than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3475.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AOR-SUBCLA/INNOM/CAROTID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35626", "description": "BPG AOR-SUBCLA/INNOM/CAROTID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2699.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 887.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of choledochal stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47801", "description": "Placement of choledochal stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1883.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87530", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MONTHLY TX FOR DMHT 20MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0553", "description": "MONTHLY TX FOR DMHT 20MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ibandronate sodium, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1740", "description": "Injection, ibandronate sodium, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "R-T FLUOR WOUND IMG 1ST SITE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0598T", "description": "R-T FLUOR WOUND IMG 1ST SITE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 870.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADVANCE CARE PLANNING FIRST 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99497", "description": "ADVANCE CARE PLANNING FIRST 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, paclitaxel, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9267", "description": "Injection, paclitaxel, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fully-reclining wheelchair, detachable arms (desk or full-length) swing-away detachable footrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1070", "description": "Fully-reclining wheelchair, detachable arms (desk or full-length) swing-away detachable footrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wet mounts, including preparations of vaginal, cervical or skin specimens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0111", "description": "Wet mounts, including preparations of vaginal, cervical or skin specimens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, metoclopramide HCl, up to 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2765", "description": "Injection, metoclopramide HCl, up to 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, morphine sulfate, preservative free for epidural or intrathecal use, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2274", "description": "Injection, morphine sulfate, preservative free for epidural or intrathecal use, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermabrasion; superficial, any site (eg, tattoo removal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15783", "description": "Dermabrasion; superficial, any site (eg, tattoo removal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 534.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 252.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35390", "description": "Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34203", "description": "Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1577.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of nasal septal fracture, with or without stabilization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21337", "description": "Closed treatment of nasal septal fracture, with or without stabilization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 498.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7179", "description": "Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; giardia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87269", "description": "Infectious agent antigen detection by immunofluorescent technique; giardia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer device, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0705", "description": "Transfer device, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcortin (cortisol binding globulin)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84449", "description": "Transcortin (cortisol binding globulin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 29346.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gases, blood, pH only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82800", "description": "Gases, blood, pH only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 89.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0342", "description": "Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1312.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0669", "description": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 293.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic bone marrow; biopsy(ies) and aspiration(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38222", "description": "Diagnostic bone marrow; biopsy(ies) and aspiration(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0432", "description": "Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third-party payers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 862.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14061", "description": "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, natalizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2323", "description": "Injection, natalizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fulvestrant, 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9395", "description": "Injection, fulvestrant, 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33016", "description": "PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0154", "description": "Platform attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2791.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VR REAL CBT INCL PP TX SOFTWARE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1905", "description": "VR REAL CBT INCL PP TX SOFTWARE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1012.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carbon dioxide (bicarbonate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82374", "description": "Carbon dioxide (bicarbonate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26700", "description": "Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43336", "description": "Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2487.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SIMPLIMAX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4341", "description": "SIMPLIMAX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63285", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4793.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30118", "description": "Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1124.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOVAFIX DL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4254", "description": "NOVAFIX DL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uvulectomy, excision of uvula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42140", "description": "Uvulectomy, excision of uvula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4272.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22206", "description": "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4251.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5513", "description": "For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hyoscyamine sulfate, up to 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1980", "description": "Injection, hyoscyamine sulfate, up to 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Shigella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86771", "description": "Antibody; Shigella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of trunk muscle(s); 6 or more muscles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64647", "description": "Chemodenervation of trunk muscle(s); 6 or more muscles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21183", "description": "RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3577.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92961", "description": "Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, anterior, any type; with coracoid process transfer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23462", "description": "Capsulorrhaphy, anterior, any type; with coracoid process transfer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1756.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22865", "description": "Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4198.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0672", "description": "Addition to lower extremity orthotic, removable soft interface, all components, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bendamustine HCl (Bendeka), 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9034", "description": "Injection, bendamustine HCl (Bendeka), 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, waist length, 30-40 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6540", "description": "Gradient compression stocking, waist length, 30-40 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of embedded foreign body, vestibule of mouth; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40805", "description": "Removal of embedded foreign body, vestibule of mouth; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 321.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 593.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99368", "description": "TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 575.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, shoulder cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4004", "description": "Cast supplies, shoulder cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ZOLBETUXIMAB CLZB 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1326", "description": "INJECTION ZOLBETUXIMAB CLZB 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrolithotomy; secondary surgical operation for calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50065", "description": "Nephrolithotomy; secondary surgical operation for calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1880.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cordocentesis (intrauterine), any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59012", "description": "Cordocentesis (intrauterine), any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2225", "description": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ CRANIOCERVICAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22590", "description": "ARTHRD PST TQ CRANIOCERVICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2917.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muscle, myocutaneous, or fasciocutaneous flap; trunk", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15734", "description": "Muscle, myocutaneous, or fasciocutaneous flap; trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2499.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; femoral-popliteal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35556", "description": "Bypass graft, with vein; femoral-popliteal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2308.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TENOTOMY ADDUCTOR HIP OPEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27001", "description": "TENOTOMY ADDUCTOR HIP OPEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 922.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 285.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20220", "description": "Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with rhizotomy; more than 2 segments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63190", "description": "Laminectomy with rhizotomy; more than 2 segments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2022.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87631", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PET IMAGING CT FOR ATTENUATION LIMITED AREA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78814", "description": "PET IMAGING CT FOR ATTENUATION LIMITED AREA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tissue expander(s) for other than breast, including subsequent expansion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11960", "description": "Insertion of tissue expander(s) for other than breast, including subsequent expansion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1687.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27814", "description": "OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1277.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93452", "description": "Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15574", "description": "Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1126.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterocalycostomy, anastomosis of ureter to renal calyx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50750", "description": "Ureterocalycostomy, anastomosis of ureter to renal calyx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1796.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32507", "description": "Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor X (Stuart-Prower)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85260", "description": "Clotting; factor X (Stuart-Prower)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81231", "description": "CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31631", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 345.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VW FACTOR TYPE 2N EVAL PLSM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0284U", "description": "VW FACTOR TYPE 2N EVAL PLSM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, radius AND ulna; shortening (excluding 64876)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25392", "description": "Osteoplasty, radius AND ulna; shortening (excluding 64876)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1678.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22864", "description": "Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3830.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GLY RCPTR ALPHA1 IGG SRM/CSF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0431U", "description": "GLY RCPTR ALPHA1 IGG SRM/CSF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRYPTOCOCCUS NEOFORM AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87327", "description": "CRYPTOCOCCUS NEOFORM AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38505", "description": "Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67570", "description": "Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1926.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33363", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2223.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN-SOL TUM CTDNA 77 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0530U", "description": "ONC PAN-SOL TUM CTDNA 77 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TAU PHOSPHORYLATED EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84393", "description": "TAU PHOSPHORYLATED EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25119", "description": "Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 873.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPAIR SPICA BODY CST/JACKET", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29720", "description": "REPAIR SPICA BODY CST/JACKET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0550", "description": "Humidifier, durable for extensive supplemental humidification during IPPB treatments or oxygen delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stoma cap", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5055", "description": "Stoma cap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2502", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1917.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0670", "description": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2687.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of spinal fusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22830", "description": "Exploration of spinal fusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1455.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, carboplatin, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9045", "description": "Injection, carboplatin, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19367", "description": "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2779.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH2 GENE MRNA SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0159U", "description": "MSH2 GENE MRNA SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiotensin II", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82163", "description": "Angiotensin II", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27455", "description": "Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1603.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95836", "description": "Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 days", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AQUAPORIN-4 ANTB CBA EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86052", "description": "AQUAPORIN-4 ANTB CBA EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88377", "description": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; each multiplex probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 577.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, lorazepam, 2 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2060", "description": "Injection, lorazepam, 2 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0257", "description": "Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coagulation time; activated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85347", "description": "Coagulation time; activated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lacrimal gland tumor; frontal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68540", "description": "Excision of lacrimal gland tumor; frontal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1468.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, potassium chloride, per 2 mEq", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3480", "description": "Injection, potassium chloride, per 2 mEq", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; orchiopexy for intra-abdominal testis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54692", "description": "Laparoscopy, surgical; orchiopexy for intra-abdominal testis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1187.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDH1 IDH2&TERT PROMOTER NGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0481U", "description": "IDH1 IDH2&TERT PROMOTER NGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1011.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, of intrahepatic ducts and gastrointestinal tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47765", "description": "Anastomosis, of intrahepatic ducts and gastrointestinal tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5119.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61524", "description": "Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3846.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy with total ureterectomy and bladder cuff; through separate incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50236", "description": "Nephrectomy with total ureterectomy and bladder cuff; through separate incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2279.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation of speech fluency (eg, stuttering, cluttering)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92521", "description": "Evaluation of speech fluency (eg, stuttering, cluttering)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEMP TEST I&R OCULAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92518", "description": "VEMP TEST I&R OCULAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2204", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 929.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis A antibody (HAAb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86708", "description": "Hepatitis A antibody (HAAb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43213", "description": "Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 396.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPH AMD ALYS 3 GENE VARIANTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0205U", "description": "OPH AMD ALYS 3 GENE VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24358", "description": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of inferior vena cava", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37619", "description": "Ligation of inferior vena cava", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2902.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0154", "description": "Platform attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, interphalangeal joint, with or without internal fixation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26860", "description": "Arthrodesis, interphalangeal joint, with or without internal fixation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1082.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99397", "description": "PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70555", "description": "Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1072.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96138", "description": "Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53601", "description": "Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT ANGIO SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37254", "description": "REVSC EVASC IVT ANGIO SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 610.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACELAGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4395", "description": "ACELAGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, trabectedin, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9352", "description": "Injection, trabectedin, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56501", "description": "Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION OLANZAPINE 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2359", "description": "INJECTION OLANZAPINE 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4410", "description": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 in, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubing, used with suction pump, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7002", "description": "Tubing, used with suction pump, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97032", "description": "Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP DUAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4358", "description": "XWRAP DUAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69433", "description": "Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22859", "description": "INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, scrotum and contents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76870", "description": "Ultrasound, scrotum and contents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 30.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGSAP SO NEO 5-50 RNA ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81449", "description": "TGSAP SO NEO 5-50 RNA ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 XOM ALY 442 SNCRNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0343U", "description": "ONC PRST8 XOM ALY 442 SNCRNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, rituximab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9312", "description": "Injection, rituximab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95805", "description": "MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 756.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0660T", "description": "Implantation of anterior segment intraocular nonbiodegradable drug-eluting system, internal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1223.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22212", "description": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2680.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4153", "description": "ENTRAL FORMULA NUTIONALLY CMPL HYDROLYZED PROTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound guidance for, and monitoring of, parenchymal tissue ablation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76940", "description": "Ultrasound guidance for, and monitoring of, parenchymal tissue ablation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADV PRIM CARE MGMT LVL 3", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0558", "description": "ADV PRIM CARE MGMT LVL 3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4193", "description": "PARNTRAL NUT SOL; AMINO ACID&CARB 52-73 GMS PROT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 509.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD CAD ALYS 3 PRTN PLSM ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0308U", "description": "CRD CAD ALYS 3 PRTN PLSM ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63076", "description": "DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 404.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34713", "description": "PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63295", "description": "Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 579.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MANNITOL 250 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2151", "description": "INJ MANNITOL 250 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0702", "description": "Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRFX P GRFXPL P STRVX & STRVXPL SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4133", "description": "GRFX P GRFXPL P STRVX & STRVXPL SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, extremity, unilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75820", "description": "Venography, extremity, unilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EL-1 FECAL QUAL/SEMIQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82656", "description": "EL-1 FECAL QUAL/SEMIQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 52455.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG DRLG OD LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29886", "description": "ARTHRS KNEE SURG DRLG OD LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1085.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of carotid body tumor; with excision of carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60605", "description": "Excision of carotid body tumor; with excision of carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2746.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87102", "description": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRYO-CORD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4237", "description": "CRYO-CORD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2382", "description": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21182", "description": "RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3296.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SINUS TRACT DIAGNOSTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20501", "description": "NJX SINUS TRACT DIAGNOSTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22015", "description": "Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1688.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI BARRETTS ESOPH VIM&CCNA1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0114U", "description": "GI BARRETTS ESOPH VIM&CCNA1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2907.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83861", "description": "Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70543", "description": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 425.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61537", "description": "Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4480.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99056", "description": "Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECTRO CONNECT BTW CONTROL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2310", "description": "ELECTRO CONNECT BTW CONTROL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15847", "description": "EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 527.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BBRGDRFERI LD ANTB DETCJ 31", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0580U", "description": "BBRGDRFERI LD ANTB DETCJ 31", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90913", "description": "BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81285", "description": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; characterization of alleles (eg, expanded size)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0135", "description": "Walker, folding (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ST ATHRC SF 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37275", "description": "RVSC EVSC FPVT ST ATHRC SF 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB/PCX DNA 27GEN RX IA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0349U", "description": "RX METAB/PCX DNA 27GEN RX IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, baclofen, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0475", "description": "Injection, baclofen, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, bearings, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2210", "description": "Wheelchair accessory, bearings, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, olecranon bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24105", "description": "Excision, olecranon bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 640.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33953", "description": "ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 787.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tongue with closure; with local tongue flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41114", "description": "Excision of lesion of tongue with closure; with local tongue flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 966.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38206", "description": "Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth and/or width, by construction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1298", "description": "Special wheelchair seat depth and/or width, by construction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 792.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ REMESTEMCEL-L-RKND/TD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3402", "description": "INJ REMESTEMCEL-L-RKND/TD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286858.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX CALCANEAL FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28405", "description": "CLTX CALCANEAL FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 717.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0106T", "description": "Quantitative sensory testing (QST), testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85396", "description": "COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neurofibroma or neurolemmoma; extensive (including malignant type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64792", "description": "Excision of neurofibroma or neurolemmoma; extensive (including malignant type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2285.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ova and parasites, direct smears, concentration and identification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87177", "description": "Ova and parasites, direct smears, concentration and identification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0180", "description": "DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29800", "description": "Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 913.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair with integrated seat lift mechanism, electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0170", "description": "Commode chair with integrated seat lift mechanism, electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 299.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Testosterone; bioavailable, direct measurement (eg, differential precipitation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84410", "description": "Testosterone; bioavailable, direct measurement (eg, differential precipitation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHONE/INTER SVS 21-30 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0548", "description": "PHONE/INTER SVS 21-30 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY HEP MRNA 161 GENES RISK CLASSIFIER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0006M", "description": "ONCOLOGY HEP MRNA 161 GENES RISK CLASSIFIER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17273", "description": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ciliary body destruction; cyclophotocoagulation, transscleral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66710", "description": "Ciliary body destruction; cyclophotocoagulation, transscleral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88304", "description": "LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62146", "description": "Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2349.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B immune globulin (HBIg), human, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90371", "description": "Hepatitis B immune globulin (HBIg), human, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lambswool sheepskin pad, any size", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0189", "description": "Lambswool sheepskin pad, any size", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free osteocutaneous flap with microvascular anastomosis; iliac crest", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20970", "description": "Free osteocutaneous flap with microvascular anastomosis; iliac crest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4569.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7325", "description": "Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55865", "description": "Exposure of prostate, any approach, for insertion of radioactive substance; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2076.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with biopsy; interphalangeal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26110", "description": "Arthrotomy with biopsy; interphalangeal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 567.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81267", "description": "CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX RADIAL HEAD/NCK FX RPLC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24666", "description": "OPTX RADIAL HEAD/NCK FX RPLC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1226.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROL DEMENTIA BAMYL PTAU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0568U", "description": "NEUROL DEMENTIA BAMYL PTAU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, radius AND ulna; lengthening with autograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25393", "description": "Osteoplasty, radius AND ulna; lengthening with autograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1856.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27215", "description": "OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 937.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87483", "description": "CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INNOVAMATRIX AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2001", "description": "INNOVAMATRIX AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28307", "description": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 892.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66183", "description": "Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1526.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, meperidine HCl, per 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2175", "description": "Injection, meperidine HCl, per 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED PAN CA MRNA PNL 18 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0134U", "description": "HERED PAN CA MRNA PNL 18 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1122.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35022", "description": "DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2497.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80435", "description": "Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81324", "description": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1137.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36838", "description": "Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1885.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21556", "description": "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 879.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aerosol mask, used with DME nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7015", "description": "Aerosol mask, used with DME nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34703", "description": "EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2262.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision (including removal) of prosthetic vaginal graft, laparoscopic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57426", "description": "Revision (including removal) of prosthetic vaginal graft, laparoscopic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1374.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD CAD DNA GWAS 564856 SNP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0466U", "description": "CRD CAD DNA GWAS 564856 SNP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 518.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61546", "description": "Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4238.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, wrist joint; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25100", "description": "Arthrotomy, wrist joint; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 622.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2623", "description": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with endoscopic mucosal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44403", "description": "Colonoscopy through stoma; with endoscopic mucosal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 460.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33949", "description": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36260", "description": "Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1155.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58270", "description": "Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1410.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11310", "description": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HHF10-P PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4224", "description": "HHF10-P PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, elbow; with synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24102", "description": "Arthrotomy, elbow; with synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1036.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ HYDROMORPHONE 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1171", "description": "INJ HYDROMORPHONE 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFIX DUO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4392", "description": "GRAFIX DUO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2607", "description": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.62, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37183", "description": "REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 555.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 240.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2629", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1342.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4013", "description": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21930", "description": "Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 632.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Serotonin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84260", "description": "Serotonin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12053", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Loudness balance test, alternate binaural or monaural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92562", "description": "Loudness balance test, alternate binaural or monaural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31637", "description": "BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABIO MEM ABIO HYD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4356", "description": "ABIO MEM ABIO HYD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22101", "description": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1594.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIODEFEND FT MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4379", "description": "AMNIODEFEND FT MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, morphine sulfate, up to 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2270", "description": "Injection, morphine sulfate, up to 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31292", "description": "NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1503.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pure tone audiometry (threshold); air and bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92553", "description": "Pure tone audiometry (threshold); air and bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59510", "description": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4589.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPEECH VOL MOD SYS INC ALL COMP&ACC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E3000", "description": "SPEECH VOL MOD SYS INC ALL COMP&ACC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, with compressor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0570", "description": "Nebulizer, with compressor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg extensions for walker, per set of 4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0158", "description": "Leg extensions for walker, per set of 4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, abdomen; 3 or more views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74021", "description": "Radiologic examination, abdomen; 3 or more views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "C-reactive protein; high sensitivity (hsCRP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86141", "description": "C-reactive protein; high sensitivity (hsCRP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meniscectomy, partial or complete, temporomandibular joint (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21060", "description": "Meniscectomy, partial or complete, temporomandibular joint (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1264.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81248", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33610", "description": "Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3058.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53431", "description": "Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1797.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81541", "description": "ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33916", "description": "Pulmonary endarterectomy, with or without embolectomy, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7027.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97036", "description": "Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, cylinder tank carrier, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2208", "description": "Wheelchair accessory, cylinder tank carrier, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.62, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0185", "description": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 312.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INT HRHC BY LIGATION 2+ HROID W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46946", "description": "INT HRHC BY LIGATION 2+ HROID W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 679.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49492", "description": "RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1665.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 165.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84376", "description": "Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, standard, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0275", "description": "Bed pan, standard, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; nasal prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21087", "description": "Impression and custom preparation; nasal prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1949.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg splint, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4047", "description": "Cast supplies, short leg splint, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcutaneous electrical nerve stimulation (TENS) device, 4 or more leads, for multiple nerve stimulation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0730", "description": "Transcutaneous electrical nerve stimulation (TENS) device, 4 or more leads, for multiple nerve stimulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy; metatarsophalangeal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28072", "description": "Synovectomy; metatarsophalangeal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 61.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2625", "description": "Skin protection and positioning wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with transendoscopic balloon dilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45340", "description": "Sigmoidoscopy, flexible; with transendoscopic balloon dilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1568", "description": "Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC TPVT ATHR CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37291", "description": "REVSC EVSC TPVT ATHR CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Rho(D) immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2791", "description": "Injection, Rho(D) immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 870.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PRE-SAC NTRBDY L5-S1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22586", "description": "ARTHRD PRE-SAC NTRBDY L5-S1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3797.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2213", "description": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26715", "description": "Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 973.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of peritoneal foreign body from peritoneal cavity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49402", "description": "Removal of peritoneal foreign body from peritoneal cavity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1451.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50300", "description": "Donor nephrectomy (including cold preservation); from cadaver donor, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3149.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21485", "description": "Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated voice synthesizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2100", "description": "Blood glucose monitor with integrated voice synthesizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35311", "description": "Thromboendarterectomy, including patch graft, if performed; subclavian, innominate, by thoracic incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2655.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0405", "description": "Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 297.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78800", "description": "RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0153", "description": "Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58565", "description": "Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 718.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2616", "description": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 817.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66825", "description": "Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1270.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ethmoidectomy; intranasal, anterior", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31200", "description": "Ethmoidectomy; intranasal, anterior", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1024.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orchiectomy, radical, for tumor; with abdominal exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54535", "description": "Orchiectomy, radical, for tumor; with abdominal exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1176.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52345", "description": "Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI IBS IGG ANTB 18FOOD ITEMS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0598U", "description": "GI IBS IGG ANTB 18FOOD ITEMS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45550", "description": "Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2413.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PREP DRG HIV PREV UNDER SKN/MSC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0012", "description": "INJ PREP DRG HIV PREV UNDER SKN/MSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0068", "description": "Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap; foam or fabric, replacement only, per set", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5114", "description": "Leg strap; foam or fabric, replacement only, per set", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38102", "description": "Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure (List in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81177", "description": "ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28285", "description": "Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 647.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0059U", "description": "Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1), serum, reported as positive or negative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2221", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5103", "description": "Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95723", "description": "EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 365.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Growth hormone, human (HGH) (somatotropin)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83003", "description": "Growth hormone, human (HGH) (somatotropin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tone decay test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92563", "description": "Tone decay test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69642", "description": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2090.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician service required to establish and document the need for a power mobility device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0372", "description": "Physician service required to establish and document the need for a power mobility device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osmotic fragility, RBC; unincubated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85555", "description": "Osmotic fragility, RBC; unincubated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33840", "description": "Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with direct anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2158.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enterostomy, large or small intestine;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44620", "description": "Closure of enterostomy, large or small intestine;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1447.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Modification of contact lens (separate procedure), with medical supervision of adaptation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92325", "description": "Modification of contact lens (separate procedure), with medical supervision of adaptation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64633", "description": "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0130", "description": "Walker, rigid (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVIVE TL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4425", "description": "REVIVE TL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Volatiles (eg, acetic anhydride, diethylether)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84600", "description": "Volatiles (eg, acetic anhydride, diethylether)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of aberrant vessel (vascular ring);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33802", "description": "Division of aberrant vessel (vascular ring);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1903.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63088", "description": "VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 440.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOINFLAM DS VEXAS SYND DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0500U", "description": "AUTOINFLAM DS VEXAS SYND DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21046", "description": "Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1576.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardioassist-method of circulatory assist; external", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92971", "description": "Cardioassist-method of circulatory assist; external", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34846", "description": "VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4594.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; upper extremity, infant, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73092", "description": "Radiologic examination; upper extremity, infant, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glycated protein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82985", "description": "Glycated protein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONT INHLJ TX EACH ADDL HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94645", "description": "CONT INHLJ TX EACH ADDL HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0027U", "description": "JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, targeted sequence analysis exons 12-15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4630", "description": "Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12002", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2313", "description": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85025", "description": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81541", "description": "ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75805", "description": "Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 529.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58674", "description": "Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1279.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50553", "description": "RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation, wrist, under anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25259", "description": "Manipulation, wrist, under anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72147", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95708", "description": "EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 319.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 140.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fludarabine phosphate, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9185", "description": "Injection, fludarabine phosphate, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, nasal polyp(s), extensive", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30115", "description": "Excision, nasal polyp(s), extensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CAST FIGURE-OF-EIGHT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29049", "description": "APPL CAST FIGURE-OF-EIGHT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0218T", "description": "NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Malar augmentation, prosthetic material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21270", "description": "Malar augmentation, prosthetic material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1203.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL/BIVLV FULL ARM/LEG CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29705", "description": "RMVL/BIVLV FULL ARM/LEG CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF/OTH OP E&M EST PT PROV>56 MG ESKETAMINE N SA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2083", "description": "OFF/OTH OP E&M EST PT PROV>56 MG ESKETAMINE N SA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin degradation products, D-dimer; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85379", "description": "Fibrin degradation products, D-dimer; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRP 1ST CRP/MTCRPL PROSTC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "1003T", "description": "ARTHRP 1ST CRP/MTCRPL PROSTC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1049.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4209", "description": "SURGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61563", "description": "Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3659.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74220", "description": "RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94010", "description": "Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99053", "description": "Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ORITAVANCIN ORBACTIV 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2407", "description": "INJECTION ORITAVANCIN ORBACTIV 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brake attachment for wheeled walker, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0159", "description": "Brake attachment for wheeled walker, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antirollback device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0974", "description": "Manual wheelchair accessory, antirollback device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0861", "description": "Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1570.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0429", "description": "Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystorrhaphy, suture of bladder wound, injury or rupture; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51865", "description": "Cystorrhaphy, suture of bladder wound, injury or rupture; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1422.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63077", "description": "Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2358.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27712", "description": "Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1826.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0113", "description": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cryopreservation, freezing and storage of cells, each cell line", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88240", "description": "Cryopreservation, freezing and storage of cells, each cell line", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; intra-abdominal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35221", "description": "Repair blood vessel, direct; intra-abdominal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2443.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antireflective coating, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2750", "description": "Antireflective coating, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB XPND CAR SCR 145 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0400U", "description": "OB XPND CAR SCR 145 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2185.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5115", "description": "INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor V (AcG or proaccelerin), labile factor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85220", "description": "Clotting; factor V (AcG or proaccelerin), labile factor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver and spleen imaging; static only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78215", "description": "Liver and spleen imaging; static only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74178", "description": "CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP1A2 (cytochrome P450 family 1, subfamily A, member 2)(eg, drug metabolism) gene analysis, common variants (ie, *1F, *1K, *6, *7)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0031U", "description": "CYP1A2 (cytochrome P450 family 1, subfamily A, member 2)(eg, drug metabolism) gene analysis, common variants (ie, *1F, *1K, *6, *7)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aminolevulinic acid HCl for topical administration, 10% gel, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7345", "description": "Aminolevulinic acid HCl for topical administration, 10% gel, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy, with release of tethered spinal cord, lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63200", "description": "Laminectomy, with release of tethered spinal cord, lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2899.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complete CBC, automated (HgB, HCT, RBC, WBC, without platelet count) and automated WBC differential count", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0306", "description": "Complete CBC, automated (HgB, HCT, RBC, WBC, without platelet count) and automated WBC differential count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7329", "description": "Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decortication and parietal pleurectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32320", "description": "Decortication and parietal pleurectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2788.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34842", "description": "ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2765.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV DS PLASMA ALYS PRTN BMRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0019M", "description": "CV DS PLASMA ALYS PRTN BMRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1068.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, gas permeable, bifocal, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2512", "description": "Contact lens, gas permeable, bifocal, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 461.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85032", "description": "Blood count; manual cell count (erythrocyte, leukocyte, or platelet) each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43277", "description": "ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 547.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27335", "description": "Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1291.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lip, full thickness; up to half vertical height", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40652", "description": "Repair lip, full thickness; up to half vertical height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 646.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AXOLOTL DUALGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4332", "description": "AXOLOTL DUALGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25520", "description": "Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 954.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS 22 TRGT SARS-COV-2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0223U", "description": "NFCT DS 22 TRGT SARS-COV-2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical excision external auditory canal lesion; without neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69150", "description": "Radical excision external auditory canal lesion; without neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1591.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT DFRM 8+ VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22812", "description": "ARTHRD ANT DFRM 8+ VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3544.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31295", "description": "NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mesna, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9209", "description": "Injection, mesna, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, by interstitial radioactive colloid administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79300", "description": "Radiopharmaceutical therapy, by interstitial radioactive colloid administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 461.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61510", "description": "Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4089.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, indirect; diagnostic (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31505", "description": "Laryngoscopy, indirect; diagnostic (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exchange transfusion, blood; other than newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36455", "description": "Exchange transfusion, blood; other than newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50810", "description": "Ureterosigmoidostomy, with creation of sigmoid bladder and establishment of abdominal or perineal colostomy, including intestine anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2430.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CELLESTA OR CELLESTA DUO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4184", "description": "CELLESTA OR CELLESTA DUO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4391", "description": "Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blepharoplasty, upper eyelid;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15822", "description": "Blepharoplasty, upper eyelid;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 622.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4411", "description": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0278T", "description": "Transcutaneous electrical modulation pain reprocessing (eg, scrambler therapy), each treatment session (includes placement of electrodes)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ SIROLIMUS PRT-BOUND PSL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9331", "description": "INJ SIROLIMUS PRT-BOUND PSL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AVALGLUCOSIDASE ALFA-NGPT 4 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0219", "description": "INJ AVALGLUCOSIDASE ALFA-NGPT 4 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myoglobin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83874", "description": "Myoglobin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, canakinumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0638", "description": "Injection, canakinumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Erythropoietin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82668", "description": "Erythropoietin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection, condyle(s), distal end of phalanx, each toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28153", "description": "Resection, condyle(s), distal end of phalanx, each toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 436.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wedge resection or bisection of ovary, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58920", "description": "Wedge resection or bisection of ovary, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1121.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TYRUKO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5134", "description": "INJ TYRUKO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respiratory suction pump, home model, portable or stationary, electric", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0600", "description": "Respiratory suction pump, home model, portable or stationary, electric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TAS CONGENITAL CAR ANOMAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33741", "description": "TAS CONGENITAL CAR ANOMAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1182.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95017", "description": "ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat lift mechanism", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0985", "description": "Wheelchair accessory, seat lift mechanism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of talotarsal joint dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28570", "description": "Closed treatment of talotarsal joint dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37780", "description": "Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 402.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attachments for complex cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0948", "description": "Fracture frame, attachments for complex cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LNG PLSM ALYS 388 PRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0436U", "description": "ONC LNG PLSM ALYS 388 PRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2256.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0016U", "description": "ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening test, pure tone, air only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92551", "description": "Screening test, pure tone, air only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9552", "description": "Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 791.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; sternoclavicular joint or joints, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71130", "description": "Radiologic examination; sternoclavicular joint or joints, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody elution (RBC), each elution", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86860", "description": "Antibody elution (RBC), each elution", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99183", "description": "Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3080F", "description": "Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10007", "description": "Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; single coronary venous graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33510", "description": "Coronary artery bypass, vein only; single coronary venous graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3302.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Cryptococcus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86641", "description": "Antibody; Cryptococcus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31080", "description": "Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1735.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81120", "description": "IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87255", "description": "Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, diaphragmatic hernia (other than neonatal), traumatic; acute", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39540", "description": "Repair, diaphragmatic hernia (other than neonatal), traumatic; acute", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1491.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; hepatorenal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35535", "description": "Bypass graft, with vein; hepatorenal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3167.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with skin level cecostomy or colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44141", "description": "Colectomy, partial; with skin level cecostomy or colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3073.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tedizolid phosphate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3090", "description": "Injection, tedizolid phosphate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, buprenorphine HCl, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0592", "description": "Injection, buprenorphine HCl, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, foot; transmetatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28805", "description": "Amputation, foot; transmetatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1132.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13132", "description": "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 435.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vincristine sulfate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9370", "description": "Vincristine sulfate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; external, simple (trephine operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31070", "description": "Sinusotomy frontal; external, simple (trephine operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 783.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal or repair of electromagnetic bone conduction hearing device in temporal bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69711", "description": "Removal or repair of electromagnetic bone conduction hearing device in temporal bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1322.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87270", "description": "Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antinuclear antibodies (ANA); titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86039", "description": "Antinuclear antibodies (ANA); titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS RPD WHLGEN CMPTR DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0583U", "description": "RARE DS RPD WHLGEN CMPTR DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5686.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB/PCX DNA 16 GEN ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0347U", "description": "RX METAB/PCX DNA 16 GEN ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL LONG LEG CAST BRACE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29358", "description": "APPL LONG LEG CAST BRACE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99386", "description": "INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87651", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION CLINDAMYCIN PHOS 300 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0736", "description": "INJECTION CLINDAMYCIN PHOS 300 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64530", "description": "Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, hip joint (including obtaining graft);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27284", "description": "Arthrodesis, hip joint (including obtaining graft);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2582.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96570", "description": "PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 281.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78472", "description": "CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 291.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFRTII ANT NTRU", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21150", "description": "RCNSTJ MDFC LEFRTII ANT NTRU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2489.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87901", "description": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, reverse transcriptase and protease regions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13133", "description": "REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33952", "description": "ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 697.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26115", "description": "Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0652", "description": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1075.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary perfusion imaging (eg, particulate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78580", "description": "Pulmonary perfusion imaging (eg, particulate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66630", "description": "Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 841.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT CA IMG ALYS W/AI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0261U", "description": "ONC CLRCT CA IMG ALYS W/AI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3769.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0216T", "description": "NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 330.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal lung maturity assessment; foam stability test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83662", "description": "Fetal lung maturity assessment; foam stability test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, vinblastine sulfate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9360", "description": "Injection, vinblastine sulfate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION VUTRISIRAN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0225", "description": "INJECTION VUTRISIRAN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7102.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STREP B ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87802", "description": "STREP B ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6197", "description": "Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VADADUSTAT ORAL 1MG FOR ESRD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0901", "description": "VADADUSTAT ORAL 1MG FOR ESRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation of implanted venous access device for drug delivery systems", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96523", "description": "Irrigation of implanted venous access device for drug delivery systems", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration of orbital contents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67415", "description": "Fine needle aspiration of orbital contents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH CKD ALG RSK DBTC KDN DS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0385U", "description": "NEPH CKD ALG RSK DBTC KDN DS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43283", "description": "Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel or elbow protector, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0191", "description": "Heel or elbow protector, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, bearings, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2210", "description": "Wheelchair accessory, bearings, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, total; with esophagoenterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43620", "description": "Gastrectomy, total; with esophagoenterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3361.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0168", "description": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96367", "description": "IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interthoracoscapular amputation (forequarter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23900", "description": "Interthoracoscapular amputation (forequarter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2259.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0659", "description": "DRUG TEST DEFINITV DRUG ID METH ANY # DR CLASSES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC COLON CA KRAS&NRAS ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0111U", "description": "ONC COLON CA KRAS&NRAS ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1023.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7320", "description": "Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33517", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpotomy; with drainage of pelvic abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57010", "description": "Colpotomy; with drainage of pelvic abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 725.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36221", "description": "NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45112", "description": "Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2879.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95983", "description": "ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; 2 coronary venous grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33511", "description": "Coronary artery bypass, vein only; 2 coronary venous grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3632.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0003M", "description": "LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90945", "description": "DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESCHAROTOMY EA ADDL INCISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16036", "description": "ESCHAROTOMY EA ADDL INCISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6224", "description": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, nonheated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0561", "description": "Humidifier, nonheated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23335", "description": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2057.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 30.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOSPORINE 250 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7516", "description": "INJ CYCLOSPORINE 250 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG MNISECTMY M/L", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29881", "description": "ARTHRS KNE SRG MNISECTMY M/L", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 923.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation of oral and pharyngeal swallowing function", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92610", "description": "Evaluation of oral and pharyngeal swallowing function", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, proximal end, head; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27268", "description": "Closed treatment of femoral fracture, proximal end, head; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler velocimetry, fetal; middle cerebral artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76821", "description": "Doppler velocimetry, fetal; middle cerebral artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3078F", "description": "Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ RBZ VIA IVT I SUSVIMO 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2779", "description": "INJ RBZ VIA IVT I SUSVIMO 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyelotomy; with exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50120", "description": "Pyelotomy; with exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1489.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64897", "description": "Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2052.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1273.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11406", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, congenital arteriovenous fistula; extremities", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35184", "description": "Repair, congenital arteriovenous fistula; extremities", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1611.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS WHL GEN SEQ FETAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0335U", "description": "RARE DS WHL GEN SEQ FETAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7836.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tiagabine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80199", "description": "Tiagabine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tonsillectomy and adenoidectomy; younger than age 12", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42820", "description": "Tonsillectomy and adenoidectomy; younger than age 12", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 459.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50606", "description": "ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of posterior or anterior acetabular wall fracture, with internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27226", "description": "Open treatment of posterior or anterior acetabular wall fracture, with internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Plasmodium (malaria)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86750", "description": "Antibody; Plasmodium (malaria)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroretinography (ERG), with interpretation and report; multifocal (mfERG)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92274", "description": "Electroretinography (ERG), with interpretation and report; multifocal (mfERG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1783.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62161", "description": "NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2839.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4412", "description": "Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroglobulin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84432", "description": "Thyroglobulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25420", "description": "Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1920.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, infliximab, excludes biosimilar, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1745", "description": "Injection, infliximab, excludes biosimilar, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0025U", "description": "Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2371", "description": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA 18 GEN 1ST UR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0403U", "description": "ONC PRST8 MRNA 18 GEN 1ST UR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51840", "description": "Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1094.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT ST CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37261", "description": "REVSC EVASC IVT ST CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33606", "description": "Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3058.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroplasty, repair of uterine anomaly (Strassman type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58540", "description": "Hysteroplasty, repair of uterine anomaly (Strassman type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1437.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, calcaneus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28118", "description": "Ostectomy, calcaneus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 715.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS ID OPT GENOME MAPG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0260U", "description": "RARE DS ID OPT GENOME MAPG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61055", "description": "Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENETIC TESTING FOR SEVERE INHERITED CONDITIONS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81443", "description": "GENETIC TESTING FOR SEVERE INHERITED CONDITIONS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3672.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61850", "description": "Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1867.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Follicle puncture for oocyte retrieval, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58970", "description": "Follicle puncture for oocyte retrieval, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM DEV SPLY RESP SYS 16-30D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98976", "description": "RTM DEV SPLY RESP SYS 16-30D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ RNL MEAS CD154+CLL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0018M", "description": "TRNSPLJ RNL MEAS CD154+CLL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6551.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm splint, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4020", "description": "Cast supplies, long arm splint, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sacroiliac joints; 3 or more views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72202", "description": "Radiologic examination, sacroiliac joints; 3 or more views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTAMOEB HIST DISPR AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87336", "description": "ENTAMOEB HIST DISPR AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97811", "description": "ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9350.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of halo, including removal; pelvic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20662", "description": "Application of halo, including removal; pelvic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 898.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXPLORATION N/FLWD SURG NECK ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35701", "description": "EXPLORATION N/FLWD SURG NECK ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 681.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57460", "description": "Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0087", "description": "Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 879.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24359", "description": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1103.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90682", "description": "Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0138U", "description": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51525", "description": "Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1351.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33523", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1376.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0114", "description": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59151", "description": "Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1291.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93308", "description": "Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59100", "description": "Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1432.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81414", "description": "CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47135", "description": "Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9213.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, arm through humerus; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24925", "description": "Amputation, arm through humerus; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 978.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27179", "description": "Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1624.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BCT QUAN ANTMCRB SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0311U", "description": "NFCT DS BCT QUAN ANTMCRB SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83520", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis; skeletal muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88355", "description": "Morphometric analysis; skeletal muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT TORAL/XORAL C1-C2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22548", "description": "ARTHRD ANT TORAL/XORAL C1-C2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3674.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HL NEO OPT GEN MAPG DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0413U", "description": "ONC HL NEO OPT GEN MAPG DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, fixed height, without side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0290", "description": "Hospital bed, fixed height, without side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Padding bandage, nonelastic, nonwoven/nonknitted, width greater than or equal to 3 in and less than 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6441", "description": "Padding bandage, nonelastic, nonwoven/nonknitted, width greater than or equal to 3 in and less than 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0960", "description": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical; with concha bullosa resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31240", "description": "Nasal/sinus endoscopy, surgical; with concha bullosa resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "O2 UPTK RST XERS DIR SIMPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94680", "description": "O2 UPTK RST XERS DIR SIMPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Probing of lacrimal canaliculi, with or without irrigation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68840", "description": "Probing of lacrimal canaliculi, with or without irrigation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS B SURFACE AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87340", "description": "HEPATITIS B SURFACE AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventriculocisternostomy, third ventricle;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62200", "description": "Ventriculocisternostomy, third ventricle;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2572.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80438", "description": "Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9143", "description": "Warfarin responsiveness testing by genetic technique using any method, any number of specimen(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66170", "description": "Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1624.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31570", "description": "Laryngoscopy, direct, with injection into vocal cord(s), therapeutic;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBD MIN DSC LUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22558", "description": "ARTHRD ANT NTRBD MIN DSC LUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2613.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMELLAS XT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4291", "description": "LAMELLAS XT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Haloperidol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80173", "description": "Haloperidol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; popliteal artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35303", "description": "Thromboendarterectomy, including patch graft, if performed; popliteal artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2037.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96121", "description": "NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0283", "description": "Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prosthetic eye, plastic, custom", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2623", "description": "Prosthetic eye, plastic, custom", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2128.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA RT-PCR 6GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0497U", "description": "ONC PRST8 MRNA RT-PCR 6GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54316", "description": "Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1557.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3617.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL RIGID TOT CNTC LEG CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29445", "description": "APPL RIGID TOT CNTC LEG CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trabeculotomy ab externo", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65850", "description": "Trabeculotomy ab externo", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1233.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thiocyanate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84430", "description": "Thiocyanate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PNCRTECT W/PANCREATOJEJUNOSTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48153", "description": "PNCRTECT W/PANCREATOJEJUNOSTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5229.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AM BUR MEM HYDRO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4363", "description": "AM BUR MEM HYDRO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, elbow; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73080", "description": "Radiologic examination, elbow; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEGUNIGALSIDASE ALFA-IWXJ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2508", "description": "INJ PEGUNIGALSIDASE ALFA-IWXJ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhythm ECG, 1-3 leads; with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93040", "description": "Rhythm ECG, 1-3 leads; with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aniseikonic lens, single vision", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2118", "description": "Aniseikonic lens, single vision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7644", "description": "Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy; radial artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64821", "description": "Sympathectomy; radial artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1185.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clot retraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85170", "description": "Clot retraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0086", "description": "Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, amphotericin B lipid complex, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0287", "description": "Injection, amphotericin B lipid complex, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86310", "description": "Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital discharge day management; more than 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99239", "description": "Hospital discharge day management; more than 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quinidine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80194", "description": "Quinidine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5423.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61305", "description": "Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3716.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENSIFENTRINE INH 3 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7601", "description": "ENSIFENTRINE INH 3 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45392", "description": "COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 461.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63308", "description": "VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 544.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of air or contrast into peritoneal cavity (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49400", "description": "Injection of air or contrast into peritoneal cavity (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free osteocutaneous flap with microvascular anastomosis; metatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20972", "description": "Free osteocutaneous flap with microvascular anastomosis; metatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4553.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, ischial pressure ulcer, with primary suture;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15940", "description": "Excision, ischial pressure ulcer, with primary suture;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1198.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical peel, nonfacial; epidermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15792", "description": "Chemical peel, nonfacial; epidermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scrotoplasty; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55175", "description": "Scrotoplasty; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 595.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, lumbosacral; minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72110", "description": "Radiologic examination, spine, lumbosacral; minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9313", "description": "Injection, moxetumomab pasudotox-tdfk, 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "5% dextrose/normal saline (500 ml = 1 unit)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7042", "description": "5% dextrose/normal saline (500 ml = 1 unit)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMERICAN AMNION PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4307", "description": "AMERICAN AMNION PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93351", "description": "ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatinine; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82565", "description": "Creatinine; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33413", "description": "Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5480.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44180", "description": "Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1575.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anidulafungin, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0348", "description": "Injection, anidulafungin, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRC BLD QUAN MEAS CFDNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0501U", "description": "ONC CLRC BLD QUAN MEAS CFDNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ MED LAR RTPCR 4GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0575U", "description": "TRNSPLJ MED LAR RTPCR 4GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemiluminescent assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82397", "description": "Chemiluminescent assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25450", "description": "Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61770", "description": "Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3004.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0424", "description": "Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, foot; deep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28192", "description": "Removal of foreign body, foot; deep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 509.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82044", "description": "Albumin; urine (eg, microalbumin), semiquantitative (eg, reagent strip assay)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Narrowing device, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0969", "description": "Narrowing device, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11921", "description": "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2362", "description": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 831.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; carotid-contralateral carotid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35509", "description": "Bypass graft, with vein; carotid-contralateral carotid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2354.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0739", "description": "Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0825", "description": "Power wheelchair, group 2 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 705.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86833", "description": "ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 488.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC FPVT ST CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37270", "description": "REVSC EVASC FPVT ST CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3079F", "description": "Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage external ear, abscess or hematoma; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69000", "description": "Drainage external ear, abscess or hematoma; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, except by refractometry; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84155", "description": "Protein, total, except by refractometry; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54410", "description": "Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1366.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT LOW EXT NERVE STIMU RLS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0743", "description": "EXT LOW EXT NERVE STIMU RLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 363.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33519", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 901.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Targeted genomic sequence analysis panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0171U", "description": "Targeted genomic sequence analysis panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2278.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25608", "description": "Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1381.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of sternum fracture with or without skeletal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21825", "description": "Open treatment of sternum fracture with or without skeletal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1020.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15136", "description": "DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96127", "description": "BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; carotid-subclavian or subclavian-carotid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35506", "description": "Bypass graft, with vein; carotid-subclavian or subclavian-carotid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2123.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0665", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair recurrent femoral hernia; incarcerated or strangulated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49557", "description": "Repair recurrent femoral hernia; incarcerated or strangulated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1262.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of radial shaft fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25515", "description": "Open treatment of radial shaft fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1135.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWC GP 1 STD CAP CHAIR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0816", "description": "PWC GP 1 STD CAP CHAIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 491.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87799", "description": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67880", "description": "Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of Mullerian duct cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55680", "description": "Excision of Mullerian duct cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 563.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ampicillin sodium, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0290", "description": "Injection, ampicillin sodium, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63075", "description": "Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2390.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0421", "description": "Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27222", "description": "Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1646.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iron stain, peripheral blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85536", "description": "Iron stain, peripheral blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29830", "description": "Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 788.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Ehrlichia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86666", "description": "Antibody; Ehrlichia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRNA GEN XPRSN 216 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0586U", "description": "ONC MRNA GEN XPRSN 216 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of posterior malleolus fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27767", "description": "Closed treatment of posterior malleolus fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US NRV&ACC STRUX 1XTR COMPRE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76883", "description": "US NRV&ACC STRUX 1XTR COMPRE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 544.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; tibia and fibula, 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73590", "description": "Radiologic examination; tibia and fibula, 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CAR NOT THR EQV TO J9050 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9052", "description": "INJ CAR NOT THR EQV TO J9050 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxalate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83945", "description": "Oxalate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99412", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Headgear used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7035", "description": "Headgear used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complex dynamic pharyngeal and speech evaluation by cine or video recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70371", "description": "Complex dynamic pharyngeal and speech evaluation by cine or video recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; motility and count (not including Huhner test)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89310", "description": "Semen analysis; motility and count (not including Huhner test)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ribs, unilateral; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71100", "description": "Radiologic examination, ribs, unilateral; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2025F", "description": "7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or surgical planing of skin of nose for rhinophyma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30120", "description": "Excision or surgical planing of skin of nose for rhinophyma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 659.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN-TUM DNA&RNA GNRJ SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0211U", "description": "ONC PAN-TUM DNA&RNA GNRJ SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12682.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2215", "description": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triamcinolone acetonide, preservative free, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3300", "description": "Injection, triamcinolone acetonide, preservative free, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemagglutination inhibition test (HAI)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86280", "description": "Hemagglutination inhibition test (HAI)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 395.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, fenestration procedure with skin flaps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31610", "description": "Tracheostomy, fenestration procedure with skin flaps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1526.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 818.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic (CT) colonography, screening, including image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74263", "description": "Computed tomographic (CT) colonography, screening, including image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 435.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92614", "description": "Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BCT/VIRAL TRAIL IP10", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0351U", "description": "NFCT DS BCT/VIRAL TRAIL IP10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ST ATHR SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37276", "description": "RVSC EVSC FPVT ST ATHR SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tocilizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3262", "description": "Injection, tocilizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvotomy, mitral valve; closed heart", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33420", "description": "Valvotomy, mitral valve; closed heart", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2517.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46606", "description": "Anoscopy; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortobifemoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35540", "description": "Bypass graft, with vein; aortobifemoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4064.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombin time; titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85675", "description": "Thrombin time; titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, cylinder tank carrier, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2208", "description": "Wheelchair accessory, cylinder tank carrier, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87505", "description": "NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61702", "description": "Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7270.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Installation, ciprofloxacin otic suspension, 6 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7342", "description": "Installation, ciprofloxacin otic suspension, 6 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoplasty; excision stenosis and anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31775", "description": "Bronchoplasty; excision stenosis and anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2410.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with ligation of spermatic veins for varicocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55550", "description": "Laparoscopy, surgical, with ligation of spermatic veins for varicocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 694.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0981", "description": "Wheelchair accessory, seat upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decortication, pulmonary (separate procedure); partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32225", "description": "Decortication, pulmonary (separate procedure); partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1741.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, with trunk support, adjustable or fixed height, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0140", "description": "Walker, with trunk support, adjustable or fixed height, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT ACA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4394", "description": "SURGRAFT ACA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, congenital arteriovenous fistula; thorax and abdomen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35182", "description": "Repair, congenital arteriovenous fistula; thorax and abdomen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3078.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11046", "description": "DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ganciclovir sodium, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1570", "description": "Injection, ganciclovir sodium, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC PILONIDAL CYST COMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11772", "description": "EXC PILONIDAL CYST COMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1034.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0479T", "description": "FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV DS ACS BLD ALG 5 YR SCORE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0415U", "description": "CV DS ACS BLD ALG 5 YR SCORE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, blood; electrophoretic separation and quantitation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83700", "description": "Lipoprotein, blood; electrophoretic separation and quantitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPRA SDRM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2011", "description": "SUPRA SDRM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Large size footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0041", "description": "Large size footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61316", "description": "Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81106", "description": "HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25263", "description": "Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1090.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 160.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRML DSTRJ IOS BVN EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64629", "description": "TRML DSTRJ IOS BVN EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87532", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42205", "description": "Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1547.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ YIMMUGO 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1553", "description": "INJ YIMMUGO 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1261.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; orbits, complete, minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70200", "description": "Radiologic examination; orbits, complete, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72114", "description": "Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluphenazine decanoate, up to 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2680", "description": "Injection, fluphenazine decanoate, up to 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture repair of aorta or great vessels; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33322", "description": "Suture repair of aorta or great vessels; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2418.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic mucous membrane tests", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95060", "description": "Ophthalmic mucous membrane tests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, crutch and cane holder, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2207", "description": "Wheelchair accessory, crutch and cane holder, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2382", "description": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; ultraviolet", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97028", "description": "Application of a modality to 1 or more areas; ultraviolet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonioscopy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92020", "description": "Gonioscopy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Growth hormone, human (HGH), antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86277", "description": "Growth hormone, human (HGH), antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 28.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO EST LOW 20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98005", "description": "SYNCH AUDIO-VIDEO EST LOW 20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0105", "description": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TPRNL US GUIDED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55709", "description": "BX PRST8 TPRNL US GUIDED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66711", "description": "ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 775.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Management of liver hemorrhage; simple suture of liver wound or injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47350", "description": "Management of liver hemorrhage; simple suture of liver wound or injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2334.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Compatibility test each unit; incubation technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86921", "description": "Compatibility test each unit; incubation technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Change of cystostomy tube; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51705", "description": "Change of cystostomy tube; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15833", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1422.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25125", "description": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1024.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MOTIXAFORTIDE 0.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2277", "description": "INJ MOTIXAFORTIDE 0.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal, subcutaneous cardiac rhythm monitor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33286", "description": "Removal, subcutaneous cardiac rhythm monitor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87580", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77316", "description": "Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 112.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT RDCRPL/MIDCARPL JT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25040", "description": "ARTHRT RDCRPL/MIDCARPL JT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 938.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Appendectomy; for ruptured appendix with abscess or generalized peritonitis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44960", "description": "Appendectomy; for ruptured appendix with abscess or generalized peritonitis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1506.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPICORD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4187", "description": "EPICORD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26205", "description": "Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1034.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78454", "description": "MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 574.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2226", "description": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49440", "description": "Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLDR DNA NGS 60GEN&ANEUP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0467U", "description": "ONC BLDR DNA NGS 60GEN&ANEUP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2278.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with removal of lesion(s), non-laser", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31578", "description": "Laryngoscopy, flexible; with removal of lesion(s), non-laser", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44314", "description": "Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1678.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5157.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1150", "description": "Wheelchair, detachable arms, desk or full-length swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38760", "description": "Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1407.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Toxoplasma, IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86778", "description": "Antibody; Toxoplasma, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hyaluronidase, recombinant, 1 USP unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3473", "description": "Injection, hyaluronidase, recombinant, 1 USP unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amniotic fluid scan (spectrophotometric)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82143", "description": "Amniotic fluid scan (spectrophotometric)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oral cushion for combination oral/nasal mask, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7028", "description": "Oral cushion for combination oral/nasal mask, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25315", "description": "Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1294.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM DNA80&RNA10G NGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0571U", "description": "ONC SOL TUM DNA80&RNA10G NGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSTILL ADSTILADRIN TX DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9029", "description": "INSTILL ADSTILADRIN TX DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90965.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of cardiac wound; without bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33300", "description": "Repair of cardiac wound; without bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4135.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tyrosine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84510", "description": "Tyrosine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROCENTA PER 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4310", "description": "PROCENTA PER 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1969.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External cannula declotting (separate procedure); with balloon catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36861", "description": "External cannula declotting (separate procedure); with balloon catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Use of ophthalmic endoscope (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66990", "description": "Use of ophthalmic endoscope (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of traumatic corporeal tear(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54437", "description": "Repair of traumatic corporeal tear(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1083.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4074", "description": "Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4176", "description": "Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Powered air flotation bed (low air loss therapy)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0193", "description": "Powered air flotation bed (low air loss therapy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1256.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0552", "description": "Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81383", "description": "HLA Class II typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, HLA-DQB1*06:02P), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Artificial insemination; intra-cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58321", "description": "Artificial insemination; intra-cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 951.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; without barrier attached, with filter (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4418", "description": "Ostomy pouch, closed; without barrier attached, with filter (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BEVACIZUMAB-ADCD BS 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5129", "description": "INJ BEVACIZUMAB-ADCD BS 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88233", "description": "Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, finger(s), minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73140", "description": "Radiologic examination, finger(s), minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metacarpal fracture, single; with manipulation, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26605", "description": "Closed treatment of metacarpal fracture, single; with manipulation, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43122", "description": "Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4260.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1561.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XK GNOTYP XK EXONS 1-3", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0200U", "description": "XK GNOTYP XK EXONS 1-3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of salivary duct, sialodochoplasty; primary or simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42500", "description": "Plastic repair of salivary duct, sialodochoplasty; primary or simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2304", "description": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheterization for collection of specimen(s) (multiple patients)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9615", "description": "Catheterization for collection of specimen(s) (multiple patients)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for discography, each level; cervical or thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62291", "description": "Injection procedure for discography, each level; cervical or thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33987", "description": "Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, chin cup for chin control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2324", "description": "Power wheelchair accessory, chin cup for chin control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37188", "description": "PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 448.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carcinoembryonic antigen (CEA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82378", "description": "Carcinoembryonic antigen (CEA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision aural glomus tumor; transmastoid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69552", "description": "Excision aural glomus tumor; transmastoid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2521.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63306", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by thoracolumbar approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4517.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2361", "description": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV STRESS TEST TRACING ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93017", "description": "CV STRESS TEST TRACING ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL HALO TYPE BODY CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29000", "description": "APPL HALO TYPE BODY CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 392.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0251U", "description": "Hepcidin-25, enzyme-linked immunosorbent assay (ELISA), serum or plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; intracapsular, for dislocated lens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66930", "description": "Removal of lens material; intracapsular, for dislocated lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1254.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm washing for artificial insemination", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58323", "description": "Sperm washing for artificial insemination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of vesicovaginal fistula; transvesical and vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57330", "description": "Closure of vesicovaginal fistula; transvesical and vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, single plane body section (eg, tomography), other than with urography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76100", "description": "Radiologic examination, single plane body section (eg, tomography), other than with urography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anesthetic agent; superior hypogastric plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64517", "description": "Injection, anesthetic agent; superior hypogastric plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64636", "description": "DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44364", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 312.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bimatoprost, intracamera", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7351", "description": "Injection, bimatoprost, intracamera", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44500", "description": "Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNGRPH CHD VNVN CLTRL BELOW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93588", "description": "VNGRPH CHD VNVN CLTRL BELOW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9460.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of maxillary torus palatinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21032", "description": "Excision of maxillary torus palatinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24140", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1175.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CALCIUM GLUCON WG CRITICAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0613", "description": "CALCIUM GLUCON WG CRITICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 46.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46258", "description": "Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 874.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2624", "description": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TIGECYCLINE ACCORD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3244", "description": "INJ TIGECYCLINE ACCORD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Folic acid; RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82747", "description": "Folic acid; RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0039U", "description": "Deoxyribonucleic acid (DNA) antibody, double stranded, high avidity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4155", "description": "ENTRAL F NUTRITIONALLY INCMPL/MODULAR NUTRIENTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, calcaneus; for spur, with or without plantar fascial release", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28119", "description": "Ostectomy, calcaneus; for spur, with or without plantar fascial release", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 602.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83718", "description": "Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tunneled intraperitoneal catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49422", "description": "Removal of tunneled intraperitoneal catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86077", "description": "Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s), interpretation and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CEZ NOT THR EQV TO J0690 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0688", "description": "INJ CEZ NOT THR EQV TO J0690 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 890.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 905.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of component(s) of a multi-component, inflatable penile prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54408", "description": "Repair of component(s) of a multi-component, inflatable penile prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1254.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25312", "description": "Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1187.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 IN-BORE CT/MRI BX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55713", "description": "BX PRST8 IN-BORE CT/MRI BX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96373", "description": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP FENESTRA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4406", "description": "XWRAP FENESTRA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostate cancer screening; digital rectal examination", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0102", "description": "Prostate cancer screening; digital rectal examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, basiliximab, 20 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0480", "description": "Injection, basiliximab, 20 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6809.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 349.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66625", "description": "Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allergen specific IgG quantitative or semiquantitative, each allergen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86001", "description": "Allergen specific IgG quantitative or semiquantitative, each allergen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45300", "description": "Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or fulguration; urethral prolapse", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53275", "description": "Excision or fulguration; urethral prolapse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 418.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21936", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2370.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair inguinal hernia, sliding, any age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49525", "description": "Repair inguinal hernia, sliding, any age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1010.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; transection of vagus nerves, truncal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43651", "description": "Laparoscopy, surgical; transection of vagus nerves, truncal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1156.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0552T", "description": "LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESTIM AID BONE HEALG INVASIV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20975", "description": "ESTIM AID BONE HEALG INVASIV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21421", "description": "Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 901.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INF AGT DETECT DNA/RNA; HPV PERF ADD TO PAP TEST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0476", "description": "INF AGT DETECT DNA/RNA; HPV PERF ADD TO PAP TEST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43233", "description": "Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Emergency power source for use with electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0491", "description": "Emergency power source for use with electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1992.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20936", "description": "AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 585.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY RUFINAMIDE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80210", "description": "DRUG ASSAY RUFINAMIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphangiotomy or other operations on lymphatic channels", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38308", "description": "Lymphangiotomy or other operations on lymphatic channels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 807.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67041", "description": "Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1645.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating footrests, articulating (telescoping), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0053", "description": "Elevating footrests, articulating (telescoping), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87552", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54055", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1022.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81346", "description": "TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4233", "description": "Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 45 minutes with patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90834", "description": "Psychotherapy, 45 minutes with patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBD CERVICAL EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22552", "description": "ARTHRD ANT NTRBD CERVICAL EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 660.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67900", "description": "Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 750.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ IC VLBW INF<1,500 GM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99478", "description": "SBSQ IC VLBW INF<1,500 GM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orchiectomy, radical, for tumor; inguinal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54530", "description": "Orchiectomy, radical, for tumor; inguinal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27178", "description": "Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1538.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of pacemaker pulse generator only; with existing multiple leads", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33221", "description": "Insertion of pacemaker pulse generator only; with existing multiple leads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 577.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 835.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72196", "description": "Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 337.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; partial nephrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50543", "description": "Laparoscopy, surgical; partial nephrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2319.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36557", "description": "Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0660", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of implantable defibrillator pulse generator only; with existing dual leads", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33230", "description": "Insertion of implantable defibrillator pulse generator only; with existing dual leads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 604.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, levoleucovorin, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0641", "description": "Injection, levoleucovorin, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOXIN/ANTITOXIN ASY TISS CUL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87230", "description": "TOXIN/ANTITOXIN ASY TISS CUL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagomyotomy (Heller type); abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43330", "description": "Esophagomyotomy (Heller type); abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2290.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ/RPLCMT OI IMPLT PRQ ESP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69717", "description": "REVJ/RPLCMT OI IMPLT PRQ ESP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 868.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ecallantide, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1290", "description": "Injection, ecallantide, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 818.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistr", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0082U", "description": "Drug test(s), definitive, 90 or more drugs or substances, definitive chromatography with mass spectrometry, and presumptive, any number of drug classes, by instrument chemistr", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMA-GIDE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4203", "description": "DERMA-GIDE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54161", "description": "Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77432", "description": "Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 728.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0008U", "description": "HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; thorax", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29200", "description": "Strapping; thorax", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL OI IMPLT SKL PERQ ESP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69726", "description": "RMVL OI IMPLT SKL PERQ ESP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 745.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic biometry by ultrasound echography, A-scan;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76516", "description": "Ophthalmic biometry by ultrasound echography, A-scan;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoplasty, Schede type or extrapleural (all stages);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32905", "description": "Thoracoplasty, Schede type or extrapleural (all stages);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2309.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29914", "description": "Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1637.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; for use on barrier with flange (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5054", "description": "Ostomy pouch, closed; for use on barrier with flange (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2253.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ROMIPLOSTIM 1 MICROGRAM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2802", "description": "INJ ROMIPLOSTIM 1 MICROGRAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of submucosal abscess, rectum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45005", "description": "Incision and drainage of submucosal abscess, rectum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64837", "description": "Suture of each additional nerve, hand or foot (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 561.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); open, inguinofemoral node(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38531", "description": "Biopsy or excision of lymph node(s); open, inguinofemoral node(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 784.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 33504.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SAFETY DETER PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76016", "description": "MR SAFETY DETER PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatorrhaphy for injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48545", "description": "Pancreatorrhaphy for injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2311.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratomileusis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65760", "description": "Keratomileusis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4070.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81378", "description": "HLA Class I and II typing, high resolution (ie, alleles or allele groups), HLA-A, -B, -C, and -DRB1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 518.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31032", "description": "Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 974.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPRCHOROIDAL SPC NJX RX AGT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67516", "description": "SPRCHOROIDAL SPC NJX RX AGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31636", "description": "BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 336.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hematopoietic progenitor cell (HPC); HPC boost", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38243", "description": "Hematopoietic progenitor cell (HPC); HPC boost", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV CORONAVIRUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87426", "description": "SARSCOV CORONAVIRUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0261", "description": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36576", "description": "Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70492", "description": "Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRK1 TRANSLOCATION ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81191", "description": "NTRK1 TRANSLOCATION ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26500", "description": "Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1230.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0162U", "description": "HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 729.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; encephalitis, Western equine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86654", "description": "Antibody; encephalitis, Western equine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, drive wheel motor, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2368", "description": "Power wheelchair component, drive wheel motor, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 641.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with double osteotomy, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28299", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with double osteotomy, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 986.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tigecycline, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3243", "description": "Injection, tigecycline, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR NSL VLV COLLAPSE W/RMDLG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30469", "description": "RPR NSL VLV COLLAPSE W/RMDLG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81372", "description": "HLA Class I typing, low resolution (eg, antigen equivalents); complete (ie, HLA-A, -B, and -C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 605.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT TL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4263", "description": "SURGRAFT TL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, telavancin, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3095", "description": "Injection, telavancin, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI TRC IMG INTRAL COLON I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91113", "description": "GI TRC IMG INTRAL COLON I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1531.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for temporomandibular joint arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21116", "description": "Injection procedure for temporomandibular joint arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43314", "description": "Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5262.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhythm ECG, 1-3 leads; interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93042", "description": "Rhythm ECG, 1-3 leads; interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of all or part of ureter by intestine segment, including intestine anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50840", "description": "Replacement of all or part of ureter by intestine segment, including intestine anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1925.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43116", "description": "Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8363.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Homogenization, tissue, for culture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87176", "description": "Homogenization, tissue, for culture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Dobutamine HCl, per 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1250", "description": "Injection, Dobutamine HCl, per 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocorticogram at surgery (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95829", "description": "Electrocorticogram at surgery (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2920.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR GMT GLV PADDED NT USE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6520", "description": "GRAD COMPR GMT GLV PADDED NT USE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81110", "description": "HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15135", "description": "DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1188.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28270", "description": "Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAMMAPLEX INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1557", "description": "GAMMAPLEX INJECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69643", "description": "TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1920.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2103", "description": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture and/or ligation of thoracic duct; thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38381", "description": "Suture and/or ligation of thoracic duct; thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1401.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31291", "description": "Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; sphenoid region", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1923.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EPINEPHRINE ADRENALIN NT J0165", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0169", "description": "INJ EPINEPHRINE ADRENALIN NT J0165", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, omacetaxine mepesuccinate, 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9262", "description": "Injection, omacetaxine mepesuccinate, 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty, 1-stage reconstruction of male anterior urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53410", "description": "Urethroplasty, 1-stage reconstruction of male anterior urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1534.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT&LNG DNA NGS 8GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0499U", "description": "ONC CLRCT&LNG DNA NGS 8GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA typing; A, B, or C (eg, A10, B7, B27), single antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86812", "description": "HLA typing; A, B, or C (eg, A10, B7, B27), single antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cabergoline, oral, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8515", "description": "Cabergoline, oral, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scleral reinforcement (separate procedure); with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67255", "description": "Scleral reinforcement (separate procedure); with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1034.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4407", "description": "Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 in or smaller, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4426", "description": "Ostomy pouch, drainable; for use on barrier with locking flange (2-piece system), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27165", "description": "Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2263.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Temozolomide, oral, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8700", "description": "Temozolomide, oral, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HCPCS-E0464", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0464", "description": "HCPCS-E0464", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2341.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MIDFACE LEFORT I 2PCS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21142", "description": "RCNSTJ MIDFACE LEFORT I 2PCS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2180.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONT INHLJ TX 1ST HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94644", "description": "CONT INHLJ TX 1ST HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC FPVT ATHRC CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37273", "description": "REVSC EVSC FPVT ATHRC CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1042.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ECULIZUMAB AEEB 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5152", "description": "INJ ECULIZUMAB AEEB 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60225", "description": "Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1521.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0114", "description": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61800", "description": "Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tumor, temporal bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69970", "description": "Removal of tumor, temporal bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3242.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15130", "description": "Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 980.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95027", "description": "INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TP53 GENE TRGT SEQUENCE ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81352", "description": "TP53 GENE TRGT SEQUENCE ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD SCIATIC NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64445", "description": "INJECTION AA&/STRD SCIATIC NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel loop/holder, any type, with or without ankle strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0951", "description": "Heel loop/holder, any type, with or without ankle strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside rails, half-length", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0305", "description": "Bedside rails, half-length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX PST CHMBR EYE MEDICATION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0699T", "description": "NJX PST CHMBR EYE MEDICATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 288.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86689", "description": "Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17260", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical head harness/halter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0942", "description": "Cervical head harness/halter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 83.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66988", "description": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1245.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28210", "description": "Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 695.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95980", "description": "ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "H PYLORI AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87339", "description": "H PYLORI AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of nail(s) by any method(s); 6 or more", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11721", "description": "Debridement of nail(s) by any method(s); 6 or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37215", "description": "TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1632.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid seat insert", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0992", "description": "Manual wheelchair accessory, solid seat insert", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15240", "description": "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1225.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION LUSPATERCEPT-AAMT 0.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0896", "description": "INJECTION LUSPATERCEPT-AAMT 0.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Measurement of ocular blood flow by repetitive intraocular pressure sampling, with interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0198T", "description": "Measurement of ocular blood flow by repetitive intraocular pressure sampling, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58291", "description": "Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1940.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95808", "description": "Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 772.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography via lumbar injection, including radiological supervision and interpretation; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62302", "description": "Myelography via lumbar injection, including radiological supervision and interpretation; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27147", "description": "Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2383.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35152", "description": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, popliteal artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2327.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70370", "description": "Radiologic examination; pharynx or larynx, including fluoroscopy and/or magnification technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, C-1 esterase inhibitor (human), Cinryze, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0598", "description": "Injection, C-1 esterase inhibitor (human), Cinryze, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal radioulnar dislocation, acute or chronic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25676", "description": "Open treatment of distal radioulnar dislocation, acute or chronic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1064.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43648", "description": "Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1728.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AFFINITY PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4159", "description": "AFFINITY PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33535", "description": "Coronary artery bypass, using arterial graft(s); 3 coronary arterial grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4161.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO EST HI 40", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98007", "description": "SYNCH AUDIO-VIDEO EST HI 40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fixation of contralateral testis (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54620", "description": "Fixation of contralateral testis (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "U-V lens, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2755", "description": "U-V lens, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, variable height, hi-lo, without side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0292", "description": "Hospital bed, variable height, hi-lo, without side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15839", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1216.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibuloplasty; posterior, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40842", "description": "Vestibuloplasty; posterior, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 959.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation, elbow, under anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24300", "description": "Manipulation, elbow, under anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 796.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz bath chair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0162", "description": "Sitz bath chair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49320", "description": "Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99191", "description": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0071", "description": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX CALCANEAL FRACTURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28415", "description": "OPTX CALCANEAL FRACTURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1862.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exchange of intraocular lens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66986", "description": "Exchange of intraocular lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1319.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ABSCESS PERITONSILLAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42700", "description": "I D ABSCESS PERITONSILLAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 108.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88147", "description": "Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urography (pyelography), intravenous, with or without KUB, with or without tomography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74400", "description": "Urography (pyelography), intravenous, with or without KUB, with or without tomography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC WHL BLD/BUCC RTPCR 24GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0460U", "description": "ONC WHL BLD/BUCC RTPCR 24GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1375.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27120", "description": "Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2125.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, prochlorperazine, up to 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0780", "description": "Injection, prochlorperazine, up to 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcitonin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82308", "description": "Calcitonin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76886", "description": "Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81237", "description": "EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, diffuse large B-cell lymphoma) gene analysis, common variant(s) (eg, codon 646)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, chest; 4 or more views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71048", "description": "Radiologic examination, chest; 4 or more views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cilastatin sodium; imipenem, per 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0743", "description": "Injection, cilastatin sodium; imipenem, per 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM I R ONLY EA ADDL LESION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96936", "description": "RCM I R ONLY EA ADDL LESION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m pertechnetate, diagnostic, per millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9512", "description": "Technetium Tc-99m pertechnetate, diagnostic, per millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25260", "description": "Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1070.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triamcinolone acetonide, not otherwise specified, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3301", "description": "Injection, triamcinolone acetonide, not otherwise specified, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90734", "description": "Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD BRACHIAL PLEXUS CONT NFS CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64416", "description": "INJECTION AA&/STRD BRACHIAL PLEXUS CONT NFS CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96113", "description": "DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81410", "description": "AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 756.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29856", "description": "Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1649.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cold agglutinin; screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86156", "description": "Cold agglutinin; screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty, reconstruction of female urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53430", "description": "Urethroplasty, reconstruction of female urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1532.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of perinephric cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50290", "description": "Excision of perinephric cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1413.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DX ALY AUD OI SND PRCSR EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92623", "description": "DX ALY AUD OI SND PRCSR EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPILEPSY GEN SEQ ALYS PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81419", "description": "EPILEPSY GEN SEQ ALYS PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3672.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive remover, wipes, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4456", "description": "Adhesive remover, wipes, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, octreotide, depot form for intramuscular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2353", "description": "Injection, octreotide, depot form for intramuscular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86832", "description": "ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 485.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pleurectomy, parietal (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32310", "description": "Pleurectomy, parietal (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1618.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 190.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81432", "description": "HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; phalanx of toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28175", "description": "Radical resection of tumor; phalanx of toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 751.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0668", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 802.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of inverted nipples", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19355", "description": "Correction of inverted nipples", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pail or pan for use with commode chair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0167", "description": "Pail or pan for use with commode chair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of topical fluoride varnish by a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99188", "description": "Application of topical fluoride varnish by a physician or other qualified health care professional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of mandibular fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21450", "description": "Closed treatment of mandibular fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, chest; single view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71045", "description": "Radiologic examination, chest; single view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15780", "description": "Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 980.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ethmoidectomy; intranasal, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31201", "description": "Ethmoidectomy; intranasal, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1253.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duodenal exclusion with gastrojejunostomy for pancreatic injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48547", "description": "Duodenal exclusion with gastrojejunostomy for pancreatic injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3049.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PENILE CONTRACTUR DEVIC MANU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0201", "description": "PENILE CONTRACTUR DEVIC MANU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86152", "description": "Cell enumeration using immunologic selection and identification in fluid specimen (eg, circulating tumor cells in blood);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 376.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of lunate dislocation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25695", "description": "Open treatment of lunate dislocation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1078.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2386", "description": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of facial nerve; extracranial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64864", "description": "Suture of facial nerve; extracranial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1338.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SAFETY PLAN INTERVEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0560", "description": "SAFETY PLAN INTERVEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1595.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11420", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR PRESS RDUC UNDRLAY/PAD ALT PUMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0183", "description": "PWR PRESS RDUC UNDRLAY/PAD ALT PUMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Goniotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65820", "description": "Goniotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1258.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of urethral stricture by passage of filiform and follower, male; initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53620", "description": "Dilation of urethral stricture by passage of filiform and follower, male; initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95924", "description": "Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99344", "description": "HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of needle or intracatheter, upper or lower extremity artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36140", "description": "Introduction of needle or intracatheter, upper or lower extremity artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sialolithotomy; submandibular (submaxillary), complicated, intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42335", "description": "Sialolithotomy; submandibular (submaxillary), complicated, intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 422.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor IX, (antihemophilic factor, recombinant), Rixubis, per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7200", "description": "Injection, factor IX, (antihemophilic factor, recombinant), Rixubis, per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of floor of mouth", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41108", "description": "Biopsy of floor of mouth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG CAROTID-SUBCLAVIAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35606", "description": "BPG CAROTID-SUBCLAVIAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1948.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small volume nonfiltered pneumatic nebulizer, disposable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7004", "description": "Small volume nonfiltered pneumatic nebulizer, disposable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fern test", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0114", "description": "Fern test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSCUT TIBIAL NERVE STIMULATOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0736", "description": "TRANSCUT TIBIAL NERVE STIMULATOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Air fluidized bed", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0194", "description": "Air fluidized bed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5913.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST AUG ALG ALY WHL SL8", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0418U", "description": "ONC BRST AUG ALG ALY WHL SL8", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous valve transposition, any vein donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34510", "description": "Venous valve transposition, any vein donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1705.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, foam rubber", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0272", "description": "Mattress, foam rubber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20700", "description": "MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25073", "description": "Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 911.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular cytogenetics; DNA probe, each (eg, FISH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88271", "description": "Molecular cytogenetics; DNA probe, each (eg, FISH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanometry and reflex threshold measurements", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92550", "description": "Tympanometry and reflex threshold measurements", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 596.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48520", "description": "Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1892.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breathing circuits", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4618", "description": "Breathing circuits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81259", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47382", "description": "Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1106.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62201", "description": "Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2308.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22904", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1781.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sputum, obtaining specimen, aerosol induced technique (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89220", "description": "Sputum, obtaining specimen, aerosol induced technique (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87625", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73503", "description": "Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYGNUS MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4199", "description": "CYGNUS MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lateral retinacular release, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27425", "description": "Lateral retinacular release, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 794.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extremity belt/harness", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0945", "description": "Extremity belt/harness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7207", "description": "Injection, factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2674.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M NEW PT 10 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0660", "description": "TEAM REMOTE E/M NEW PT 10 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ceftaroline fosamil, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0712", "description": "Injection, ceftaroline fosamil, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81536", "description": "ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24346", "description": "Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1850.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERMIT URIN CATH; STRAIT TIP EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4351", "description": "INTERMIT URIN CATH; STRAIT TIP EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81323", "description": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, torn ligament and/or capsule, knee; collateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27405", "description": "Repair, primary, torn ligament and/or capsule, knee; collateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1141.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68720", "description": "Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59618", "description": "Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4646.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70554", "description": "MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 500.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37247", "description": "TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of postinfarction ventricular septal defect, with or without myocardial resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33545", "description": "Repair of postinfarction ventricular septal defect, with or without myocardial resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5214.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS GEN DNA ALYS EA COMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0213U", "description": "RARE DS GEN DNA ALYS EA COMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4064.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, human fibrinogen concentrate, not otherwise specified, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7178", "description": "Injection, human fibrinogen concentrate, not otherwise specified, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2396", "description": "Power wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 237.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2601", "description": "General use wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, with stand, includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0205", "description": "Heat lamp, with stand, includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61860", "description": "Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2901.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95251", "description": "Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, iron dextran, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1750", "description": "Injection, iron dextran, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 506.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88373", "description": "M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6252", "description": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of the lacrimal punctum; by plug, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68761", "description": "Closure of the lacrimal punctum; by plug, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33534", "description": "Coronary artery bypass, using arterial graft(s); 2 coronary arterial grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3754.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34715", "description": "OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indwelling catheter, Foley type, 2-way, all silicone, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4344", "description": "Indwelling catheter, Foley type, 2-way, all silicone, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25526", "description": "OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1607.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81283", "description": "IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prednisolone, oral, per 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7510", "description": "Prednisolone, oral, per 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0426", "description": "Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60260", "description": "Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1734.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0823", "description": "Power wheelchair, group 2 standard, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 492.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG CRTD SINS BAT IP WO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93145", "description": "INTERROG CRTD SINS BAT IP WO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alglucosidase alfa, 10 mg, not otherwise specified", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0220", "description": "Injection, alglucosidase alfa, 10 mg, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63057", "description": "TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve pedicle transfer; first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64905", "description": "Nerve pedicle transfer; first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1599.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radial and ulnar shaft fractures; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25565", "description": "Closed treatment of radial and ulnar shaft fractures; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 917.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of missed abortion, completed surgically; second trimester", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59821", "description": "Treatment of missed abortion, completed surgically; second trimester", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 635.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Copper", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82525", "description": "Copper", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation for wheelchair requiring face-to-face visit with physician", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9156", "description": "Evaluation for wheelchair requiring face-to-face visit with physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 77.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25830", "description": "Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1734.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of tissue expander with permanent implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11970", "description": "Replacement of tissue expander with permanent implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 922.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOST PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4328", "description": "MOST PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antihuman globulin test (Coombs test); indirect, each antibody titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86886", "description": "Antihuman globulin test (Coombs test); indirect, each antibody titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33018", "description": "PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 458.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>7D<15D REC SCAN A/R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93245", "description": "EXT ECG>7D<15D REC SCAN A/R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 514.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to headboard, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0840", "description": "Traction frame, attached to headboard, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reinsertion of spinal fixation device", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22849", "description": "Reinsertion of spinal fixation device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2264.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; for aspiration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31515", "description": "Laryngoscopy direct, with or without tracheoscopy; for aspiration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytogenetics and molecular cytogenetics, interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88291", "description": "Cytogenetics and molecular cytogenetics, interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4168", "description": "Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis; of proximal interphalangeal joint, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26471", "description": "Tenodesis; of proximal interphalangeal joint, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1147.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultralightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0005", "description": "Ultralightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2964.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0160", "description": "Sitz type bath or equipment, portable, used with or without commode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90868", "description": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 332.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90940", "description": "Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lumbar spine; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72131", "description": "Computed tomography, lumbar spine; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4038", "description": "Cast supplies, short leg cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11646", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 587.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision mastoidectomy; resulting in radical mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69603", "description": "Revision mastoidectomy; resulting in radical mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2077.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17315", "description": "MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4236", "description": "Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; speech aid prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21084", "description": "Impression and custom preparation; speech aid prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1831.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0603", "description": "Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Septal or other intranasal dermatoplasty (does not include obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30620", "description": "Septal or other intranasal dermatoplasty (does not include obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1093.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatobiliary system imaging, including gallbladder when present;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78226", "description": "Hepatobiliary system imaging, including gallbladder when present;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 449.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3655.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phenylalanine (PKU), blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84030", "description": "Phenylalanine (PKU), blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25126", "description": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1031.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sedimentation rate, erythrocyte; non-automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85651", "description": "Sedimentation rate, erythrocyte; non-automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microvolt T-wave alternans for assessment of ventricular arrhythmias", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93025", "description": "Microvolt T-wave alternans for assessment of ventricular arrhythmias", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64566", "description": "Posterior tibial neurostimulation, percutaneous needle electrode, single treatment, includes programming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53425", "description": "Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1465.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80412", "description": "Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2376", "description": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 233.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31638", "description": "BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 377.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLL V BLD VP/URN SMP CATH IND SNF/LAB BHALF HHA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0471", "description": "COLL V BLD VP/URN SMP CATH IND SNF/LAB BHALF HHA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of transplanted pancreatic allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48556", "description": "Removal of transplanted pancreatic allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2273.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31030", "description": "Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 835.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of vesicouterine fistula; with hysterectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51925", "description": "Closure of vesicouterine fistula; with hysterectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1679.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52318", "description": "Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 721.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 7-8 studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95910", "description": "Nerve conduction studies; 7-8 studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARE MANAGE SERV PR CAL MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0570", "description": "CARE MANAGE SERV PR CAL MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17313", "description": "MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2613", "description": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 533.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat lift mechanism", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0985", "description": "Wheelchair accessory, seat lift mechanism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECTRO NERVE STIMULATOR RLS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4544", "description": "ELECTRO NERVE STIMULATOR RLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURF RADJ THER TX PLANNING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77436", "description": "SURF RADJ THER TX PLANNING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheoplasty; tracheopharyngeal fistulization, each stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31755", "description": "Tracheoplasty; tracheopharyngeal fistulization, each stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2818.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pertuzumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9306", "description": "Injection, pertuzumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36904", "description": "PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 563.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vancomycin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80202", "description": "Vancomycin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4725.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36012", "description": "Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transferase; aspartate amino (AST) (SGOT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84450", "description": "Transferase; aspartate amino (AST) (SGOT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; post glucose dose (includes glucose)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82950", "description": "Glucose; post glucose dose (includes glucose)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61050", "description": "Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastric fundoplasty partial or complete; thoracotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43328", "description": "Esophagogastric fundoplasty partial or complete; thoracotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1934.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4387", "description": "Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27236", "description": "Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1957.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 CA ALYS ALL PSA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0359U", "description": "ONC PRST8 CA ALYS ALL PSA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face-to-face behavioral counseling for obesity, 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0447", "description": "Face-to-face behavioral counseling for obesity, 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctopexy (eg, for prolapse); abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45540", "description": "Proctopexy (eg, for prolapse); abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1733.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0071U", "description": "CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2220", "description": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of cervical canal, instrumental (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57800", "description": "Dilation of cervical canal, instrumental (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN MPLTJ HPGLSL NSTM ARY PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64582", "description": "OPN MPLTJ HPGLSL NSTM ARY PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1270.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRLNG HI/OBS CARE EM BYD TT;EA 15 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0316", "description": "PRLNG HI/OBS CARE EM BYD TT;EA 15 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, distal phalanx of finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26262", "description": "Radical resection of tumor, distal phalanx of finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1081.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sling or seat, patient lift, canvas or nylon", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0621", "description": "Sling or seat, patient lift, canvas or nylon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN EXC/DSTR NTRA-ABD 5.1-10", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49187", "description": "OPN EXC/DSTR NTRA-ABD 5.1-10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2798.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "R0075", "description": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 453.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0042U", "description": "Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7949.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33965", "description": "ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27762", "description": "Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 882.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51715", "description": "Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97804", "description": "Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacles, except for aphakia; monofocal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92340", "description": "Fitting of spectacles, except for aphakia; monofocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72130", "description": "Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3484.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87210", "description": "Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43197", "description": "Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20983", "description": "ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBD MIN DSC EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22585", "description": "ARTHRD ANT NTRBD MIN DSC EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 533.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2325", "description": "Power wheelchair accessory, sip and puff interface, nonproportional, including all related electronics, mechanical stop switch, and manual swingaway mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36254", "description": "SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 656.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93293", "description": "TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19283", "description": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6235", "description": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99155", "description": "MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82270", "description": "BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD CMP STK BLW KNEE 40-50MM HG SRG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6532", "description": "GRD CMP STK BLW KNEE 40-50MM HG SRG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, collagenase, clostridium histolyticum, 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0775", "description": "Injection, collagenase, clostridium histolyticum, 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86000", "description": "Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever, scrub typhus), each antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIAGNOSTIC LUMBAR SPINAL PUNCTURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62270", "description": "DIAGNOSTIC LUMBAR SPINAL PUNCTURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93312", "description": "ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59121", "description": "Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1366.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85370", "description": "Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tenecteplase, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3101", "description": "Injection, tenecteplase, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, toe; metatarsophalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28820", "description": "Amputation, toe; metatarsophalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 280.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMBOLI DETCJ WO IV MBUBB NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93897", "description": "EMBOLI DETCJ WO IV MBUBB NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31536", "description": "Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of urethral stricture by passage of filiform and follower, male; subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53621", "description": "Dilation of urethral stricture by passage of filiform and follower, male; subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactogen, human placental (HPL) human chorionic somatomammotropin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83632", "description": "Lactogen, human placental (HPL) human chorionic somatomammotropin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81111", "description": "HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound filler, dry form, sterile, per g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6241", "description": "Hydrocolloid dressing, wound filler, dry form, sterile, per g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49500", "description": "Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 750.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ PHRNC NRV STIM SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33276", "description": "INSJ PHRNC NRV STIM SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 913.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99091", "description": "Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ALZHEIMER MRNA 24 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0289U", "description": "NEURO ALZHEIMER MRNA 24 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33258", "description": "ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1153.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIN CARE MGMT PHYS EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99425", "description": "PRIN CARE MGMT PHYS EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRK TRANSLOCATION ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81194", "description": "NTRK TRANSLOCATION ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 777.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21138", "description": "Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1474.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 663.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision soft tissue lesion, external auditory canal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69145", "description": "Excision soft tissue lesion, external auditory canal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 419.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cranioplasty for skull defect; larger than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62141", "description": "Cranioplasty for skull defect; larger than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2091.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX TARSL FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28456", "description": "PRQ SKEL FIX TARSL FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 686.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN MLNMA MRNA 23 GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0090U", "description": "ONC CUTAN MLNMA MRNA 23 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 100.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVITA PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4180", "description": "REVITA PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatase, alkaline;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84075", "description": "Phosphatase, alkaline;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 222.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trifocal seg width over 28 mm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2319", "description": "Trifocal seg width over 28 mm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MA MOLEC PRFL ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0228U", "description": "ONC PRST8 MA MOLEC PRFL ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49407", "description": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 312.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychoanalysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90845", "description": "Psychoanalysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mucoprotein, blood (seromucoid) (medical necessity procedure)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P2038", "description": "Mucoprotein, blood (seromucoid) (medical necessity procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81371", "description": "HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, and -DRB1 (eg, verification typing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 606.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 997.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction equipment, overdoor, cervical", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0860", "description": "Traction equipment, overdoor, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MICROLYTE MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2005", "description": "MICROLYTE MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Middle ear exploration through postauricular or ear canal incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69440", "description": "Middle ear exploration through postauricular or ear canal incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1103.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19371", "description": "Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1158.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31577", "description": "Laryngoscopy, flexible; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair with integrated seat lift mechanism, nonelectric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0171", "description": "Commode chair with integrated seat lift mechanism, nonelectric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1821", "description": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0694", "description": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7098.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6238", "description": "Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77085", "description": "Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21123", "description": "Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1372.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with solid tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0077", "description": "Front caster assembly, complete, with solid tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sweat collection by iontophoresis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89230", "description": "Sweat collection by iontophoresis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 CA MRNA 12 GENES BLD PLSM &/UR ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0011M", "description": "ONC PRST8 CA MRNA 12 GENES BLD PLSM &/UR ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary artery embolectomy; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33915", "description": "Pulmonary artery embolectomy; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2367.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OBSTETRIC PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80055", "description": "OBSTETRIC PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair choanal atresia; transpalatine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30545", "description": "Repair choanal atresia; transpalatine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1593.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27259", "description": "OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2517.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aniseikonic lens, trifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2318", "description": "Aniseikonic lens, trifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fully-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1050", "description": "Fully-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63268", "description": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2753.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Histamine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83088", "description": "Histamine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 440.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45305", "description": "Proctosigmoidoscopy, rigid; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST WRIST EXTENSION DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1807", "description": "ADJUST WRIST EXTENSION DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76814", "description": "US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0079", "description": "Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11055", "description": "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99285", "description": "EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, great toe; metatarsophalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28750", "description": "Arthrodesis, great toe; metatarsophalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 942.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autologous blood or component, collection processing and storage; predeposited", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86890", "description": "Autologous blood or component, collection processing and storage; predeposited", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpocleisis (Le Fort type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57120", "description": "Colpocleisis (Le Fort type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 838.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ABILIFY MAINTENA 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0401", "description": "INJ ABILIFY MAINTENA 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, forensic (eg, sperm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88125", "description": "Cytopathology, forensic (eg, sperm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81162", "description": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2737.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2113", "description": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mammary ductogram or galactogram, single duct, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77053", "description": "Mammary ductogram or galactogram, single duct, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synthetic sheepskin pad", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0188", "description": "Synthetic sheepskin pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.61, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96137", "description": "PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7614", "description": "Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0288", "description": "Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1075.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1605.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47480", "description": "Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1519.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRA INF TOCI FIRST DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0233", "description": "INTRA INF TOCI FIRST DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69631", "description": "Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1412.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2 VAC 25 MCG/.25ML IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91321", "description": "SARSCOV2 VAC 25 MCG/.25ML IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, intraocular; from anterior chamber of eye or lens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65235", "description": "Removal of foreign body, intraocular; from anterior chamber of eye or lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1102.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Jaw motion rehabilitation system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1700", "description": "Jaw motion rehabilitation system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0953", "description": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65400", "description": "Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 907.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M EST PT 15 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0666", "description": "TEAM REMOTE E/M EST PT 15 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45384", "description": "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 358.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm cast, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4008", "description": "Cast supplies, long arm cast, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96004", "description": "PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0124", "description": "Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tongue with closure; posterior one-third", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41113", "description": "Excision of lesion of tongue with closure; posterior one-third", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 430.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water seal drainage container and tubing for use with implanted chest tube", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7041", "description": "Water seal drainage container and tubing for use with implanted chest tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Porphyrins, feces, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84126", "description": "Porphyrins, feces, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, voriconazole, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3465", "description": "Injection, voriconazole, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VANCO (TYZAVAN) 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3375", "description": "INJ VANCO (TYZAVAN) 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20606", "description": "ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81404", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25600", "description": "CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 611.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90733", "description": "Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ HERCESSI 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5146", "description": "INJ HERCESSI 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15837", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0627", "description": "Seat lift mechanism, electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 432.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86835", "description": "Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class II", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41145", "description": "Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4258.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63273", "description": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3467.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 349.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81188", "description": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9985", "description": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dexamethasone, intravitreal implant, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7312", "description": "Injection, dexamethasone, intravitreal implant, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50325", "description": "BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PELVIC EXAMINATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99459", "description": "PELVIC EXAMINATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80416", "description": "Renal vein renin stimulation panel (eg, captopril) This panel must include the following: Renin (84244 x 6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 313.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43284", "description": "Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1143.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76000", "description": "Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90747", "description": "Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2386", "description": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA typing; A, B, or C, multiple antigens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86813", "description": "HLA typing; A, B, or C, multiple antigens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, metatarsal, with toe, single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28810", "description": "Amputation, metatarsal, with toe, single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95992", "description": "Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2383", "description": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERMIT URIN CATH; COUDE TIP EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4352", "description": "INTERMIT URIN CATH; COUDE TIP EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adenoidectomy, primary; age 12 or over", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42831", "description": "Adenoidectomy, primary; age 12 or over", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 375.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22310", "description": "Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32604", "description": "Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 813.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUMOR CFCTDNA 152GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0539U", "description": "ONC SOL TUMOR CFCTDNA 152GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4932.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0069", "description": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD CMP STCK BLW KNEE 30-40MM HG EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6552", "description": "GRD CMP STCK BLW KNEE 30-40MM HG EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AEROGUARD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4370", "description": "AEROGUARD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43255", "description": "Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM BLD/SLV 648 GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0473U", "description": "ONC SLD TUM BLD/SLV 648 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6750.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis; facial-hypoglossal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64868", "description": "Anastomosis; facial-hypoglossal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1528.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33983", "description": "Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3816.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; synovectomy, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29821", "description": "Arthroscopy, shoulder, surgical; synovectomy, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 997.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leucine aminopeptidase (LAP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83670", "description": "Leucine aminopeptidase (LAP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24147", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1067.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1343.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, PMMA, color vision deficiency, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2503", "description": "Contact lens, PMMA, color vision deficiency, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 124.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Swingaway, detachable footrests, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0052", "description": "Swingaway, detachable footrests, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33981", "description": "Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1378.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Variable concentration mask", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4620", "description": "Variable concentration mask", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0070", "description": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Potassium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84132", "description": "Potassium; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA BARTONELLA DDPCR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0301U", "description": "IADNA BARTONELLA DDPCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2203", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77086", "description": "Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM ALYS BRCA1 BRCA2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0172U", "description": "ONC SLD TUM ALYS BRCA1 BRCA2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4545.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Binocular microscopy (separate diagnostic procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92504", "description": "Binocular microscopy (separate diagnostic procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostate specific antigen (PSA); complexed (direct measurement)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84152", "description": "Prostate specific antigen (PSA); complexed (direct measurement)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76857", "description": "Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59857", "description": "INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 971.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73718", "description": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SAFETY IMPLT POS&/IMMOBLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76019", "description": "MR SAFETY IMPLT POS&/IMMOBLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96131", "description": "PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or removal of peripheral neurostimulator electrode array", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64585", "description": "Revision or removal of peripheral neurostimulator electrode array", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Formoterol fumarate, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 20 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7606", "description": "Formoterol fumarate, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 20 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complex cystometrogram (ie, calibrated electronic equipment);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51726", "description": "Complex cystometrogram (ie, calibrated electronic equipment);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GIARDIA AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87329", "description": "GIARDIA AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23450", "description": "Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1566.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27156", "description": "Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2757.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0239", "description": "Hydrocollator unit, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 817.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64902", "description": "Nerve graft, each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1061.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I BZ FRSNS KB NO TX EQ J9041 0.1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9048", "description": "I BZ FRSNS KB NO TX EQ J9041 0.1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83525", "description": "Insulin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triptorelin, extended-release, 3.75 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3316", "description": "Injection, triptorelin, extended-release, 3.75 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5269.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of sternocleidomastoid for torticollis, open operation; with cast application", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21725", "description": "Division of sternocleidomastoid for torticollis, open operation; with cast application", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 924.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31553", "description": "Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2644.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urine pregnancy test, by visual color comparison methods", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81025", "description": "Urine pregnancy test, by visual color comparison methods", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27151", "description": "Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2568.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diabetes outpatient self-management training services, individual, per 30 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0108", "description": "Diabetes outpatient self-management training services, individual, per 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD ENZYME DETCJ PER NZM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87185", "description": "SC STD ENZYME DETCJ PER NZM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44227", "description": "Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2742.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1225", "description": "Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PS&CEU O DVC/APP NM EL ST TNG MUSC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0490", "description": "PS&CEU O DVC/APP NM EL ST TNG MUSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD COMP STK THIGH LENG 40MM HG< EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6535", "description": "GRD COMP STK THIGH LENG 40MM HG< EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, extensor, foot or toe, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28234", "description": "Tenotomy, open, extensor, foot or toe, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 456.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with parietal pleurectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32656", "description": "Thoracoscopy, surgical; with parietal pleurectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1417.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SIMPLICHOR PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4414", "description": "SIMPLICHOR PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60540", "description": "Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal (separate procedure);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1826.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen and water vapor enriching system without heated delivery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1406", "description": "Oxygen and water vapor enriching system without heated delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of complete cerebrospinal fluid shunt system; without replacement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62256", "description": "Removal of complete cerebrospinal fluid shunt system; without replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1196.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3625.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2508", "description": "Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5734.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; carotid-brachial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35510", "description": "Bypass graft, with vein; carotid-brachial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2049.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82652", "description": "Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 180.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Variable asphericity lens, single vision, full field, glass or plastic, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2410", "description": "Variable asphericity lens, single vision, full field, glass or plastic, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1043.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERASKIN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4121", "description": "THERASKIN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11057", "description": "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis; facial-spinal accessory", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64866", "description": "Anastomosis; facial-spinal accessory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2008.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62329", "description": "THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66160", "description": "Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1470.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2363", "description": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62190", "description": "Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1782.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 57.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; axillary-brachial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35321", "description": "Thromboendarterectomy, including patch graft, if performed; axillary-brachial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1510.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enteroenteric or enterocolic fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44650", "description": "Closure of enteroenteric or enterocolic fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2390.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MIDAZOLAM IN 0.9% NACL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2251", "description": "INJ MIDAZOLAM IN 0.9% NACL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DTACHABLE NONADJ HT ARMREST REPL EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0015", "description": "DTACHABLE NONADJ HT ARMREST REPL EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sodium; urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84300", "description": "Sodium; urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY AMIODARONE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80151", "description": "DRUG ASSAY AMIODARONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64763", "description": "Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 919.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99452", "description": "NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2504", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3372.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59610", "description": "Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4330.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7314", "description": "Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 749.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cylinder cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4033", "description": "Cast supplies, long leg cylinder cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and removal of foreign body, subcutaneous tissues; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10121", "description": "Incision and removal of foreign body, subcutaneous tissues; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37242", "description": "VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 727.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50225", "description": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; complicated because of previous surgery on same kidney", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1848.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, abdomen; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74019", "description": "Radiologic examination, abdomen; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, micafungin sodium, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2248", "description": "Injection, micafungin sodium, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 253.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0882", "description": "Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2224", "description": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42842", "description": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1609.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58263", "description": "Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1557.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46615", "description": "Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2395", "description": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31645", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 229.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST ANKLE EXTENSION DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1822", "description": "ADJUST ANKLE EXTENSION DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, with trunk support, adjustable or fixed height, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0140", "description": "Walker, with trunk support, adjustable or fixed height, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tear film imaging, unilateral or bilateral, with interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0330T", "description": "Tear film imaging, unilateral or bilateral, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 126.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacle prosthesis for aphakia; multifocal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92353", "description": "Fitting of spectacle prosthesis for aphakia; multifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63620", "description": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2104.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, digoxin, up to 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1160", "description": "Injection, digoxin, up to 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50820", "description": "Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2064.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of superficial wound dehiscence; simple closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12020", "description": "Treatment of superficial wound dehiscence; simple closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR 14+ CLASS DRUGS & SBSTS CAPILLARY BLOOD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0054U", "description": "RX MNTR 14+ CLASS DRUGS & SBSTS CAPILLARY BLOOD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLT FAM GRP BHV TRAIN EA ADD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96203", "description": "MLT FAM GRP BHV TRAIN EA ADD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPV SEP HI-RSK TYP&POOL RSLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87626", "description": "HPV SEP HI-RSK TYP&POOL RSLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Punch graft for hair transplant; more than 15 punch grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15776", "description": "Punch graft for hair transplant; more than 15 punch grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 541.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0827", "description": "Power wheelchair, group 2 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1063.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83520", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Neisseria meningitidis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86741", "description": "Antibody; Neisseria meningitidis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25078", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1952.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90691", "description": "Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64570", "description": "Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1436.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLEXHD OR ALLOPATCHHD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4128", "description": "FLEXHD OR ALLOPATCHHD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0580", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12047", "description": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 629.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; axillary-femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35521", "description": "Bypass graft, with vein; axillary-femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2049.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Methotrexate, oral, 2.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8610", "description": "Methotrexate, oral, 2.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22843", "description": "POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1361.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMCHOPLAST PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4316", "description": "AMCHOPLAST PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with biopsy; carpometacarpal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26100", "description": "Arthrotomy with biopsy; carpometacarpal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 607.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32505", "description": "Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1627.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D SHOULDER INFECTED BURSA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23031", "description": "I D SHOULDER INFECTED BURSA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIPLY TOPICAL USE ONLY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4249", "description": "AMNIPLY TOPICAL USE ONLY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2022F", "description": "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5725.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, linezolid, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2020", "description": "Injection, linezolid, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD CV DS ALY 4 PRTN PLM ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0309U", "description": "CRD CV DS ALY 4 PRTN PLM ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radial and ulnar shaft fractures; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25560", "description": "Closed treatment of radial and ulnar shaft fractures; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 489.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87500", "description": "Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; with brain and spinal cord", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88007", "description": "Necropsy (autopsy), gross examination only; with brain and spinal cord", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 643.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81210", "description": "BRAF (B-Raf proto-oncogene, serine/threonine kinase) (eg, colon cancer, melanoma), gene analysis, V600 variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85027", "description": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27364", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2580.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, interpretation; 2 to 8 markers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88187", "description": "Flow cytometry, interpretation; 2 to 8 markers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, extensor tendon, hand OR finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26445", "description": "Tenolysis, extensor tendon, hand OR finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1079.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of cardiac wound; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33305", "description": "Repair of cardiac wound; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6874.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal shunt placement, including ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59076", "description": "Fetal shunt placement, including ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 864.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26140", "description": "Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 858.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ANGIO CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37283", "description": "RVSC EVSC TPVT ANGIO CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 347.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy; nasopharynx, survey for unknown primary lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42806", "description": "Biopsy; nasopharynx, survey for unknown primary lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50323", "description": "BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of lacrimal fistula (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68770", "description": "Closure of lacrimal fistula (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 925.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRGT GEN SEQ ALYS PNL 83+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0326U", "description": "TRGT GEN SEQ ALYS PNL 83+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7500.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27488", "description": "Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1975.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55842", "description": "Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1819.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastoidectomy; radical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69511", "description": "Mastoidectomy; radical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2037.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2363", "description": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy; with treatment of penetrating wound of brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61571", "description": "Craniectomy or craniotomy; with treatment of penetrating wound of brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3685.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1465.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal, non-biodegradable drug delivery implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11982", "description": "Removal, non-biodegradable drug delivery implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81308", "description": "PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision aural polyp", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69540", "description": "Excision aural polyp", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis; pantalar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28705", "description": "Arthrodesis; pantalar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1953.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61616", "description": "RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5901.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 209.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB GEN RX IA 16 GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0392U", "description": "RX METAB GEN RX IA 16 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25270", "description": "Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0044", "description": "Footrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87641", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87900", "description": "Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 144.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LASER ENUCLEATION PROSTATE W/MORCELLATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52649", "description": "LASER ENUCLEATION PROSTATE W/MORCELLATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1146.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96571", "description": "PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74270", "description": "RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0441T", "description": "Ablation, percutaneous, cryoablation, includes imaging guidance; lower extremity distal/peripheral nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2366", "description": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 515.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32551", "description": "Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 254.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43244", "description": "Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0433", "description": "Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44700", "description": "Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1631.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EACH ADD 15 MIN CPM & TX PER CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G3003", "description": "EACH ADD 15 MIN CPM & TX PER CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92201", "description": "OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, forearm crutch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0153", "description": "Platform attachment, forearm crutch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.23, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63055", "description": "Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2912.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77772", "description": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1136.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; cranial nerve supplied muscle(s), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95867", "description": "Needle electromyography; cranial nerve supplied muscle(s), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, naxitamab-gqgk, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9348", "description": "Injection, naxitamab-gqgk, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 970.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63081", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3090.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REV/RMVL GSTR NSTIM ELTRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43882", "description": "REV/RMVL GSTR NSTIM ELTRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1536.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63017", "description": "LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2332.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEGFILGRASTIM EXC BIOSIM 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2506", "description": "INJ PEGFILGRASTIM EXC BIOSIM 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, acquired or traumatic arteriovenous fistula; head and neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35188", "description": "Repair, acquired or traumatic arteriovenous fistula; head and neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2391.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 134.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27645", "description": "Radical resection of tumor; tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2856.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88273", "description": "Molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells (eg, for microdeletions)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Use of vertical electrodes (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92547", "description": "Use of vertical electrodes (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagotomy, thoracic approach, with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43045", "description": "Esophagotomy, thoracic approach, with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2290.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2504", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 337.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25295", "description": "Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 887.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58267", "description": "Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1668.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of penetrating wound (separate procedure); extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20103", "description": "Exploration of penetrating wound (separate procedure); extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST ELBOW FLEXION DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1804", "description": "ADJUST ELBOW FLEXION DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyruvate kinase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84220", "description": "Pyruvate kinase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58543", "description": "Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1319.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0404", "description": "Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AOR-CELIAC-MSN-RENAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35631", "description": "BPG AOR-CELIAC-MSN-RENAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3064.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26372", "description": "Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1608.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4508.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53445", "description": "Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1204.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic manipulative treatment (OMT); 3-4 body regions involved", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98926", "description": "Osteopathic manipulative treatment (OMT); 3-4 body regions involved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0055T", "description": "CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42145", "description": "Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1072.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, direct, esophageal varices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43400", "description": "Ligation, direct, esophageal varices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2599.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20985", "description": "Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Omentectomy, epiploectomy, resection of omentum (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49255", "description": "Omentectomy, epiploectomy, resection of omentum (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1359.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INIT/SUB PSY CCM 1ST 30 M MO BH CAR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2214", "description": "INIT/SUB PSY CCM 1ST 30 M MO BH CAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystine and homocystine, urine, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82615", "description": "Cystine and homocystine, urine, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53440", "description": "Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1189.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactate (lactic acid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83605", "description": "Lactate (lactic acid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87903", "description": "Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis, HIV 1; first through 10 drugs tested", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 732.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81242", "description": "FANCC (Fanconi anemia, complementation group C) (eg, Fanconi anemia, type C) gene analysis, common variant (eg, IVS4+4A>T)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2096.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25606", "description": "Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1150.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87512", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY EST MOD 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98014", "description": "SYNCH AUDIO-ONLY EST MOD 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOREPAIR OR ALTIPLY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4235", "description": "AMNIOREPAIR OR ALTIPLY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENCLOSE TL MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4351", "description": "ENCLOSE TL MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44385", "description": "NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61548", "description": "Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2780.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLURPIRIDAZ F18 DIAG 1 MCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9611", "description": "FLURPIRIDAZ F18 DIAG 1 MCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 855.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2604", "description": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy; for excision of bladder tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51530", "description": "Cystotomy; for excision of bladder tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1215.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ciprofloxacin for intravenous infusion, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0744", "description": "Injection, ciprofloxacin for intravenous infusion, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM I R ONLY 1ST LESION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96933", "description": "RCM I R ONLY 1ST LESION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, plasma protein fraction (human), 5%, 250 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9048", "description": "Infusion, plasma protein fraction (human), 5%, 250 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81272", "description": "KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7505", "description": "Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home blood glucose monitor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0607", "description": "Home blood glucose monitor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61566", "description": "Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4124.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM IMG ACQUISJ I R 1ST LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96931", "description": "RCM IMG ACQUISJ I R 1ST LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47534", "description": "PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28309", "description": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus foot procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1479.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL PHRNC NRV STIM TRANSVNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33279", "description": "RMVL PHRNC NRV STIM TRANSVNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 560.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2241.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78598", "description": "Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1234", "description": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, without seating system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, propofol, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2704", "description": "Injection, propofol, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, radius or ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25170", "description": "Radical resection of tumor, radius or ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2390.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1853.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50961", "description": "URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86078", "description": "Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease, interpretation and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN MLN RNA QPCR 10GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0578U", "description": "ONC CUTAN MLN RNA QPCR 10GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; cholecystectomy with exploration of common duct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47564", "description": "Laparoscopy, surgical; cholecystectomy with exploration of common duct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1937.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventriculocisternostomy (Torkildsen type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62180", "description": "Ventriculocisternostomy (Torkildsen type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2977.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attachments for complex cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0948", "description": "Fracture frame, attachments for complex cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 884.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95957", "description": "Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25025", "description": "Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2020.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess; parotid, complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42305", "description": "Drainage of abscess; parotid, complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST > 10 RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49595", "description": "RPR AA HRN 1ST > 10 RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1287.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Annual alcohol misuse screening, 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0442", "description": "Annual alcohol misuse screening, 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 643.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Macroscopic examination; arthropod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87168", "description": "Macroscopic examination; arthropod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77768", "description": "HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Twist drill hole for subdural or ventricular puncture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61105", "description": "Twist drill hole for subdural or ventricular puncture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 930.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21346", "description": "Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1614.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Androsterone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82160", "description": "Androsterone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 56.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT DISC ARTHRP ANT 1NTRSPC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22856", "description": "TOT DISC ARTHRP ANT 1NTRSPC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2815.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92974", "description": "Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26770", "description": "Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total repair, truncus arteriosus (Rastelli type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33786", "description": "Total repair, truncus arteriosus (Rastelli type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3850.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36575", "description": "Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or peripheral insertion site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure and placement of chain for contrast and/or chain urethrocystography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51605", "description": "Injection procedure and placement of chain for contrast and/or chain urethrocystography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 very heavy-duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0860", "description": "Power wheelchair, group 3 very heavy-duty, single power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2778.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carnitine (total and free), quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82379", "description": "Carnitine (total and free), quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reconstruction; with latissimus dorsi flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19361", "description": "Breast reconstruction; with latissimus dorsi flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2465.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of vagina under anesthesia (other than local)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57400", "description": "Dilation of vagina under anesthesia (other than local)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74230", "description": "RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46611", "description": "Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58140", "description": "Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1443.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26705", "description": "Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 710.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15241", "description": "FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrostomy/jejunostomy tube, low-profile, any material, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4088", "description": "Gastrostomy/jejunostomy tube, low-profile, any material, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hypnotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90880", "description": "Hypnotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lactiferous duct fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19112", "description": "Excision of lactiferous duct fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 600.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0843", "description": "Power wheelchair, group 2 heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 453.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7522", "description": "Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 190.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81539", "description": "ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, interdigital (Morton) neuroma, single, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28080", "description": "Excision, interdigital (Morton) neuroma, single, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 648.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0455", "description": "Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29826", "description": "ARTHROSCOPY SHOULDER W/CORACOACRM LIGMNT RELEASE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other cranial decompression, posterior fossa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61345", "description": "Other cranial decompression, posterior fossa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3773.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lysis or excision of penile post-circumcision adhesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54162", "description": "Lysis or excision of penile post-circumcision adhesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27087", "description": "Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1076.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11624", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 356.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of esophagus, by unguided sound or bougie, single or multiple passes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43450", "description": "Dilation of esophagus, by unguided sound or bougie, single or multiple passes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11045", "description": "DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of torsion of testis, surgical, with or without fixation of contralateral testis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54600", "description": "Reduction of torsion of testis, surgical, with or without fixation of contralateral testis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 729.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complement; total hemolytic (CH50)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86162", "description": "Complement; total hemolytic (CH50)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93930", "description": "Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN US TIS CHARAC W/DX US", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0690T", "description": "QUAN US TIS CHARAC W/DX US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 XOM ALYS 53 SNCRNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0424U", "description": "ONC PRST8 XOM ALYS 53 SNCRNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58553", "description": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1750.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB/PCX DNA 27 GEN ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0350U", "description": "RX METAB/PCX DNA 27 GEN ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hyaluronidase, up to 150 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3470", "description": "Injection, hyaluronidase, up to 150 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of mandibular fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21451", "description": "Closed treatment of mandibular fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1071.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28291", "description": "Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 765.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0841", "description": "Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 759.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 ALYS DGTZ IMG MSI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0512U", "description": "ONC PRST8 ALYS DGTZ IMG MSI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR GRMT GENITAL REG CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6571", "description": "GRAD COMPR GRMT GENITAL REG CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1021.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYMPHONY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2009", "description": "SYMPHONY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38564", "description": "Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1194.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Management of recipient hematopoietic progenitor cell donor search and cell acquisition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38204", "description": "Management of recipient hematopoietic progenitor cell donor search and cell acquisition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5110", "description": "Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15221", "description": "FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27059", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2960.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33505", "description": "Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3466.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Porphyrins, urine; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84119", "description": "Porphyrins, urine; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26746", "description": "Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1228.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRA INF TOCI SECOND DOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0234", "description": "INTRA INF TOCI SECOND DOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, lower extremity, with or without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73725", "description": "Magnetic resonance angiography, lower extremity, with or without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 454.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; without barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5052", "description": "Ostomy pouch, closed; without barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21470", "description": "Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1832.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78350", "description": "Bone density (bone mineral content) study, 1 or more sites; single photon absorptiometry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5101", "description": "Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57282", "description": "Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1088.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9230", "description": "Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2615", "description": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 626.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D EPDIDYMS TSTIS /SCROT SP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54700", "description": "I D EPDIDYMS TSTIS /SCROT SP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>48HR<7D REV&INTERPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93244", "description": "EXT ECG>48HR<7D REV&INTERPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth originating site facility fee", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q3014", "description": "Telehealth originating site facility fee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5602.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Handling and/or conveyance of specimen for transfer from the office to a laboratory", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99000", "description": "Handling and/or conveyance of specimen for transfer from the office to a laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACTIVATE MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4301", "description": "ACTIVATE MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0154", "description": "Platform attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, treprostinil, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3285", "description": "Injection, treprostinil, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 67.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99496", "description": "TRANSITIONAL CARE MANAGE SRVC 7 DAY DISCHARGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 280.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5691.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dexamethasone sodium phosphate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1100", "description": "Injection, dexamethasone sodium phosphate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54406", "description": "Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1160.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of bone flap or prosthetic plate of skull", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62143", "description": "Replacement of bone flap or prosthetic plate of skull", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1961.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cefepime HCl, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0692", "description": "Injection, cefepime HCl, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 137.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 710.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0083", "description": "Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model.services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93010", "description": "Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93325", "description": "Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27846", "description": "Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1205.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD FEMORAL NERVE CONT NFS CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64448", "description": "INJECTION AA&/STRD FEMORAL NERVE CONT NFS CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33228", "description": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99471", "description": "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1135.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, chlamydia, any source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87110", "description": "Culture, chlamydia, any source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Luteinizing releasing factor (LRH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83727", "description": "Luteinizing releasing factor (LRH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHOTOBIOMODULATION THER RTA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0936T", "description": "PHOTOBIOMODULATION THER RTA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 801.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90658", "description": "Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy filter, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4368", "description": "Ostomy filter, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34451", "description": "Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by abdominal and leg incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2393.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95927", "description": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS AID ACL RPR/AGMNTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29888", "description": "ARTHRS AID ACL RPR/AGMNTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1590.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, calcitonin salmon, up to 400 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0630", "description": "Injection, calcitonin salmon, up to 400 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1616.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; presence and/or motility of sperm including Huhner test (post coital)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89300", "description": "Semen analysis; presence and/or motility of sperm including Huhner test (post coital)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN HRV UXTR ART 1 SGM CAB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35600", "description": "OPEN HRV UXTR ART 1 SGM CAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transureteroureterostomy, anastomosis of ureter to contralateral ureter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50770", "description": "Transureteroureterostomy, anastomosis of ureter to contralateral ureter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1796.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTGRA DRT/OMNIGR DERM RGN MTX P SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4105", "description": "INTGRA DRT/OMNIGR DERM RGN MTX P SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27396", "description": "Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION THIOTEPA NOS 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9342", "description": "INJECTION THIOTEPA NOS 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54312", "description": "Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1293.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leukocyte assessment, fecal, qualitative or semiquantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89055", "description": "Leukocyte assessment, fecal, qualitative or semiquantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40701", "description": "Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1898.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Descending thoracic aorta graft, with or without bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33875", "description": "Descending thoracic aorta graft, with or without bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4627.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26775", "description": "Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 639.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33959", "description": "ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASY CARBAMAZEPIN 10,11-EPXID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80161", "description": "ASY CARBAMAZEPIN 10,11-EPXID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HL NEO GEN SEQ ALYS ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0364U", "description": "ONC HL NEO GEN SEQ ALYS ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3010.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32674", "description": "Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27487", "description": "Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2830.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sesamoidectomy, first toe (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28315", "description": "Sesamoidectomy, first toe (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 542.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, radical, including pectoral muscles, axillary lymph nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19305", "description": "Mastectomy, radical, including pectoral muscles, axillary lymph nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1996.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cartilage graft; costochondral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20910", "description": "Cartilage graft; costochondral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 832.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2370", "description": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 947.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61606", "description": "RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5079.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0673", "description": "Segmental gradient pressure pneumatic appliance, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TOCILIZUMAB-ANOH 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5156", "description": "INJ TOCILIZUMAB-ANOH 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22844", "description": "POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1623.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard size footplate, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0042", "description": "Standard size footplate, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive Oral Evaluation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "D0150", "description": "Comprehensive Oral Evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of pilonidal cyst; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10081", "description": "Incision and drainage of pilonidal cyst; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 301.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiokymography", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0035", "description": "Cardiokymography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 212.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27510", "description": "Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1211.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, surgical; with removal of loose body or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29834", "description": "Arthroscopy, elbow, surgical; with removal of loose body or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 838.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WOUNDPLUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4326", "description": "WOUNDPLUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36215", "description": "Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 330.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breathing circuits", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4618", "description": "Breathing circuits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29902", "description": "Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stenar lesion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 991.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88177", "description": "CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81448", "description": "HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1083.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4036", "description": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of scrotum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55150", "description": "Resection of scrotum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56631", "description": "Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1998.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lateral canthopexy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21282", "description": "Lateral canthopexy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 649.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; palatal augmentation prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21082", "description": "Impression and custom preparation; palatal augmentation prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1724.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "pH; body fluid, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83986", "description": "pH; body fluid, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41155", "description": "Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4605.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orthopantogram (eg, panoramic x-ray)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70355", "description": "Orthopantogram (eg, panoramic x-ray)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TRAVOPROST INTRA IMPLANT 1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7355", "description": "INJ TRAVOPROST INTRA IMPLANT 1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PER TMAB & HYAL-ZZXF PER 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9316", "description": "INJ PER TMAB & HYAL-ZZXF PER 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroidectomy or exploration of parathyroid(s); re-exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60502", "description": "Parathyroidectomy or exploration of parathyroid(s); re-exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2178.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47532", "description": "NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Azathioprine, parenteral, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7501", "description": "Azathioprine, parenteral, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision distal ulna partial or complete (eg, Darrach type or matched resection)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25240", "description": "Excision distal ulna partial or complete (eg, Darrach type or matched resection)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 733.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sterile water/saline, 500 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4217", "description": "Sterile water/saline, 500 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88283", "description": "Chromosome analysis; additional specialized banding technique (eg, NOR, C-banding)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93352", "description": "Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IND COU PREP STAFF PRV HIV/HIV RISK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0013", "description": "IND COU PREP STAFF PRV HIV/HIV RISK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81380", "description": "HLA Class I typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-A, -B, or -C), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 265.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ALFENTANIL HCL 500 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0216", "description": "INJECTION ALFENTANIL HCL 500 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 CA 3PRTNS PLSM SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0591U", "description": "ONC PRST8 CA 3PRTNS PLSM SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20604", "description": "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX TALUS FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28436", "description": "PRQ SKEL FIX TALUS FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 890.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen based wound filler, dry form, sterile, per g of collagen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6010", "description": "Collagen based wound filler, dry form, sterile, per g of collagen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT ACRMCLV/STRNCLAV JT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23101", "description": "ARTHRT ACRMCLV/STRNCLAV JT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 796.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of sternum;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21630", "description": "Radical resection of sternum;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2086.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; lower extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35286", "description": "Repair blood vessel with graft other than vein; lower extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1538.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77002", "description": "Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6695.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37766", "description": "Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 547.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43254", "description": "Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 410.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESANO ACA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4275", "description": "ESANO ACA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96374", "description": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of blood clot, anterior segment of eye", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65930", "description": "Removal of blood clot, anterior segment of eye", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 947.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative differential pulmonary perfusion, including imaging when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78597", "description": "Quantitative differential pulmonary perfusion, including imaging when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST MRNA 70 CNT 31 GENE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81523", "description": "ONC BRST MRNA 70 CNT 31 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision tracheal stenosis and anastomosis; cervicothoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31781", "description": "Excision tracheal stenosis and anastomosis; cervicothoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2151.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2745", "description": "Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, cervical spine; with contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72126", "description": "Computed tomography, cervical spine; with contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0870", "description": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of syndactyly (web finger) each web space; with skin flaps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26560", "description": "Repair of syndactyly (web finger) each web space; with skin flaps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1142.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with biopsy; interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28054", "description": "Arthrotomy with biopsy; interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 384.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tocilizumab for COVID 19", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0249", "description": "Tocilizumab for COVID 19", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35876", "description": "Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1563.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOS DR REDDYS 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9073", "description": "INJ CYCLOPHOS DR REDDYS 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0157", "description": "Crutch attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57307", "description": "Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1756.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1397.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy faceplate equivalent, silicone ring, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4384", "description": "Ostomy faceplate equivalent, silicone ring, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS BE AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87350", "description": "HEPATITIS BE AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1821", "description": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystorrhaphy, suture of bladder wound, injury or rupture; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51860", "description": "Cystorrhaphy, suture of bladder wound, injury or rupture; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1206.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incontinence supply, urethral insert, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4336", "description": "Incontinence supply, urethral insert, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47541", "description": "PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 510.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81231", "description": "CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *5, *6, *7)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11402", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9986", "description": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96369", "description": "Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated lancing/blood sample", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2101", "description": "Blood glucose monitor with integrated lancing/blood sample", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 403.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99423", "description": "ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1212.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11471", "description": "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL SHORT ARM SPLINT DYN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29126", "description": "APPL SHORT ARM SPLINT DYN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurectomy, popliteal (gastrocnemius)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27326", "description": "Neurectomy, popliteal (gastrocnemius)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 904.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PATH CLIN CONSLTJ SF 5-20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80503", "description": "PATH CLIN CONSLTJ SF 5-20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1018.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement measuring scales for jaw motion rehabilitation system, package of 200", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1702", "description": "Replacement measuring scales for jaw motion rehabilitation system, package of 200", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64901", "description": "Nerve graft, each additional nerve; single strand (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 916.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual adult size wheelchair, includes tilt in space", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1161", "description": "Manual adult size wheelchair, includes tilt in space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 505.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibuloplasty; posterior, bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40843", "description": "Vestibuloplasty; posterior, bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1388.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67400", "description": "Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1586.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; axillary-femoral-femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35533", "description": "Bypass graft, with vein; axillary-femoral-femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2509.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trimming of nondystrophic nails, any number", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11719", "description": "Trimming of nondystrophic nails, any number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9555", "description": "Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0484", "description": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 718.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93455", "description": "CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1263.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SHO ARTHRS SRG CAPSULORRAPHY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29806", "description": "SHO ARTHRS SRG CAPSULORRAPHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1743.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEARING LOSS DUP/DEL ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81431", "description": "HEARING LOSS DUP/DEL ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1019.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23665", "description": "Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 747.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO RX BALO CATH URTL STRX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52284", "description": "CYSTO RX BALO CATH URTL STRX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 254.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM SPLENIC ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35111", "description": "DIR RPR ANEURYSM SPLENIC ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2214.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pralidoxime chloride, up to 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2730", "description": "Injection, pralidoxime chloride, up to 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19081", "description": "BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D VULVA/PERINEAL ABSCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56405", "description": "I D VULVA/PERINEAL ABSCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61519", "description": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5361.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33948", "description": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-venous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 385.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC RNA WHL TRANSCIPTOME SEQ TISS PREDCT ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0019U", "description": "ONC RNA WHL TRANSCIPTOME SEQ TISS PREDCT ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5512.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, single view, specify level", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72020", "description": "Radiologic examination, spine, single view, specify level", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99382", "description": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5871.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2626", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1159.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80430", "description": "Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0237T", "description": "Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; brachiocephalic trunk and branches, each vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21917.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74248", "description": "RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1046.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81341", "description": "TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43771", "description": "Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2205.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25810", "description": "Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1416.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM RT-PCR 7 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0262U", "description": "ONC SLD TUM RT-PCR 7 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4800.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO EST MOD 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98006", "description": "SYNCH AUDIO-VIDEO EST MOD 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86008", "description": "Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM 1ST SET-UP PT EDUCAJ EQP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98975", "description": "RTM 1ST SET-UP PT EDUCAJ EQP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST IMHCHEM PRTN XPRS PRFL 4 BMRK CA PRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0067U", "description": "ONC BRST IMHCHEM PRTN XPRS PRFL 4 BMRK CA PRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2845.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90660", "description": "Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46748", "description": "RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7184.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43117", "description": "PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5523.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 552.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 217.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 122.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81258", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, glenohumeral joint; hemiarthroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23470", "description": "Arthroplasty, glenohumeral joint; hemiarthroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1950.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95079", "description": "INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33474", "description": "Valvotomy, pulmonary valve, open heart, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3718.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0890", "description": "Traction frame, attached to footboard, pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS PTHGN-SNA 11VIR&4BCT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0563U", "description": "NFCT DS PTHGN-SNA 11VIR&4BCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, clofarabine, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9027", "description": "Injection, clofarabine, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62280", "description": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPRESSION ARM SLEEVE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6578", "description": "GRADIENT COMPRESSION ARM SLEEVE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 146.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadofosveset trisodium, 1 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9583", "description": "Injection, gadofosveset trisodium, 1 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53420", "description": "Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1322.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29825", "description": "Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 990.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>48HR<7D REC SCAN A/R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93241", "description": "EXT ECG>48HR<7D REC SCAN A/R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0967", "description": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 356.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DISE EVAL SLP DO BRTH FLX DX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42975", "description": "DISE EVAL SLP DO BRTH FLX DX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible or rigid telescopic, with stroboscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31579", "description": "Laryngoscopy, flexible or rigid telescopic, with stroboscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1622.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93292", "description": "INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD AGAR DILUTION PER AGT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87181", "description": "SC STD AGAR DILUTION PER AGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, simple, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19303", "description": "Mastectomy, simple, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1667.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 287.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADNT COMPR GRMNT BRA NIGHT USE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6528", "description": "GRADNT COMPR GRMNT BRA NIGHT USE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 999.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND S W>=3\" <5\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6446", "description": "CONFORM BAND S W>=3\" <5\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystostomy, cystotomy with drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51040", "description": "Cystostomy, cystotomy with drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 478.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cryotherapy (CO2 slush, liquid N2) for acne", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17340", "description": "Cryotherapy (CO2 slush, liquid N2) for acne", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of cerclage suture under anesthesia (other than local)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59871", "description": "Removal of cerclage suture under anesthesia (other than local)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36906", "description": "PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 780.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55873", "description": "Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1201.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOCORE SL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4367", "description": "AMNIOCORE SL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody screen, RBC, each serum technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86850", "description": "Antibody screen, RBC, each serum technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81540", "description": "ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5625.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AXOLOTL GRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4331", "description": "AXOLOTL GRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9% TBS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "01953", "description": "ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9% TBS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93662", "description": "INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX 1/MLT TRIGGER POINT 1/2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20552", "description": "NJX 1/MLT TRIGGER POINT 1/2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOSTIM DL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4267", "description": "NEOSTIM DL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Foreskin manipulation including lysis of preputial adhesions and stretching", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54450", "description": "Foreskin manipulation including lysis of preputial adhesions and stretching", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0870", "description": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADMN RSV MONOC ANTB IM NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96381", "description": "ADMN RSV MONOC ANTB IM NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51798", "description": "Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance spectroscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76390", "description": "Magnetic resonance spectroscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 610.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7608", "description": "Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 137.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Triglycerides", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84478", "description": "Triglycerides", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.61, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AC WRAP PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4422", "description": "AC WRAP PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACESSO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4311", "description": "ACESSO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AXILLARY-FEMORAL-FEMORAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35654", "description": "BPG AXILLARY-FEMORAL-FEMORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2263.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEMBRANE GFT/MEMBRANE WRAP P SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4205", "description": "MEMBRANE GFT/MEMBRANE WRAP P SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2050.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12001", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 767.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66984", "description": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64491", "description": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2340", "description": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49411", "description": "INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, argatroban, 1 mg (for ESRD on dialysis)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0884", "description": "Injection, argatroban, 1 mg (for ESRD on dialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN MEDIAN NRV CARPL TUNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64728", "description": "DCMPRN MEDIAN NRV CARPL TUNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT CA MUT&MTHYLTN MRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0368U", "description": "ONC CLRCT CA MUT&MTHYLTN MRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wedging of cast (except clubfoot casts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29740", "description": "Wedging of cast (except clubfoot casts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG ALYS CHRML ABNOR OGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81354", "description": "CYTOG ALYS CHRML ABNOR OGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61782", "description": "Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, base, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0017", "description": "Detachable, adjustable height armrest, base, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 84.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92548", "description": "CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg extensions for walker, per set of 4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0158", "description": "Leg extensions for walker, per set of 4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0181", "description": "PHYS SUPV PT RECV MCR-COVR SRVC HOM HLTH AGCY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatectomy, resection of liver; trisegmentectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47122", "description": "Hepatectomy, resection of liver; trisegmentectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5746.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, metacarpophalangeal joint, surgical; with debridement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29901", "description": "Arthroscopy, metacarpophalangeal joint, surgical; with debridement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 938.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoplasty; graft repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31770", "description": "Bronchoplasty; graft repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2284.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21931", "description": "Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77054", "description": "Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY ITRACONAZOLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80189", "description": "DRUG ASSAY ITRACONAZOLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroxine; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84436", "description": "Thyroxine; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27685", "description": "Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV & INF VIR A&B AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87428", "description": "SARSCOV & INF VIR A&B AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87070", "description": "Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24125", "description": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1067.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43281", "description": "Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2604.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX OPN RMVL PORT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43887", "description": "GSTR RSTCV PX OPN RMVL PORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 609.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG TUB PRO ABS LY P/Y ANY W", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6607", "description": "GD CMP BDG TUB PRO ABS LY P/Y ANY W", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7507", "description": "Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal fibular fracture (lateral malleolus); with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27788", "description": "Closed treatment of distal fibular fracture (lateral malleolus); with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 743.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61781", "description": "Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 411.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, temporomandibular joint, open and closed mouth; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70328", "description": "Radiologic examination, temporomandibular joint, open and closed mouth; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35261", "description": "Repair blood vessel with graft other than vein; neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1643.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerclage of cervix, during pregnancy; abdominal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59325", "description": "Cerclage of cervix, during pregnancy; abdominal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluocinolone acetonide, intravitreal implant (Retisert), 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7311", "description": "Injection, fluocinolone acetonide, intravitreal implant (Retisert), 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 479.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24077", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1730.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63301", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by transthoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4075.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 515.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 324.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52320", "description": "Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 376.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, lanadelumab-flyo, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0593", "description": "Injection, lanadelumab-flyo, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm splint, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4019", "description": "Cast supplies, long arm splint, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Opponensplasty; other methods", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26496", "description": "Opponensplasty; other methods", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1579.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Testosterone; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84403", "description": "Testosterone; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor XIII (fibrin stabilizing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85290", "description": "Clotting; factor XIII (fibrin stabilizing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLG-COMPLETE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4256", "description": "MLG-COMPLETE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dry pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0199", "description": "Dry pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPLX CHRNC CARE EA ADDL 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99489", "description": "CPLX CHRNC CARE EA ADDL 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95886", "description": "NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, abdomen; 1 view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74018", "description": "Radiologic examination, abdomen; 1 view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMBND DLN DL+ DLX SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4427", "description": "DERMBND DLN DL+ DLX SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lead wires (e.g., apnea monitor), per pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4557", "description": "Lead wires (e.g., apnea monitor), per pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose-6-phosphate dehydrogenase (G6PD); screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82960", "description": "Glucose-6-phosphate dehydrogenase (G6PD); screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 73.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21122", "description": "Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1247.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87510", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46712", "description": "Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; combined transperineal and transabdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3800.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALISADE DM MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4350", "description": "PALISADE DM MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric mucosa imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78261", "description": "Gastric mucosa imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 281.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX METATARSAL FX EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28485", "description": "OPTX METATARSAL FX EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 955.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOVACHOR PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4194", "description": "NOVACHOR PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with vein graft; neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35231", "description": "Repair blood vessel with vein graft; neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1933.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81186", "description": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61559", "description": "XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4440.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Development testing, with interpretation and report, per standardized instrument form", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0451", "description": "Development testing, with interpretation and report, per standardized instrument form", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; palatal lift prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21083", "description": "Impression and custom preparation; palatal lift prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1587.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81506", "description": "ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35301", "description": "Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1879.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Normal, low, and high calibrator solution/chips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4256", "description": "Normal, low, and high calibrator solution/chips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KL" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51728", "description": "Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoprostenol, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1325", "description": "Injection, epoprostenol, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27828", "description": "OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2203.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43232", "description": "Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, extensor tendon sheath, wrist, single compartment;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25118", "description": "Synovectomy, extensor tendon sheath, wrist, single compartment;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 660.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36222", "description": "SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 461.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95875", "description": "Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior tibial tubercleplasty (eg, Maquet type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27418", "description": "Anterior tibial tubercleplasty (eg, Maquet type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1365.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TISS TRNSGLTMNASE EA IG CLAS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86364", "description": "TISS TRNSGLTMNASE EA IG CLAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92998", "description": "Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 497.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tibia or fibula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27635", "description": "Excision or curettage of bone cyst or benign tumor, tibia or fibula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 970.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, bearings, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2210", "description": "Wheelchair accessory, bearings, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dolasetron mesylate, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1260", "description": "Injection, dolasetron mesylate, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33548", "description": "Surgical ventricular restoration procedure, includes prosthetic patch, when performed (eg, ventricular remodeling, SVR, SAVER, Dor procedures)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5044.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76942", "description": "Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of incomplete abortion, any trimester, completed surgically", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59812", "description": "Treatment of incomplete abortion, any trimester, completed surgically", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 517.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87274", "description": "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87040", "description": "Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTR CUT VSC PRLF LES10-50SQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17107", "description": "DSTR CUT VSC PRLF LES10-50SQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 538.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for hip arthrography; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27093", "description": "Injection procedure for hip arthrography; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53442", "description": "Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1251.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Probing of nasolacrimal duct, with or without irrigation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68810", "description": "Probing of nasolacrimal duct, with or without irrigation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water circulating heat pad with pump", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0217", "description": "Water circulating heat pad with pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93271", "description": "XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2631", "description": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration 2.5 cm or less; posterior one-third of tongue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41251", "description": "Repair of laceration 2.5 cm or less; posterior one-third of tongue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 408.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2363", "description": "Power wheelchair accessory, group 24 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estradiol; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82670", "description": "Estradiol; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "B BRGDRFERI LYME DS OSPA EVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0316U", "description": "B BRGDRFERI LYME DS OSPA EVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61635", "description": "Transcatheter placement of intravascular stent(s), intracranial (eg, atherosclerotic stenosis), including balloon angioplasty, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2514.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0442T", "description": "Ablation, percutaneous, cryoablation, includes imaging guidance; nerve plexus or other truncal nerve (eg, brachial plexus, pudendal nerve)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX CLCNL FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28406", "description": "PRQ SKEL FIX CLCNL FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 980.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIFIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4186", "description": "EPIFIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27705", "description": "Osteotomy; tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1234.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Haemophilus influenza", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86684", "description": "Antibody; Haemophilus influenza", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88314", "description": "Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50130", "description": "Pyelotomy; with removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1615.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX METAR FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28476", "description": "PRQ SKEL FIX METAR FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIVER DS 10 BIOCHEM ASY SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0166U", "description": "LIVER DS 10 BIOCHEM ASY SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33275", "description": "TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 812.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0627", "description": "Seat lift mechanism, electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection, partial or complete, phalangeal base, each toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28126", "description": "Resection, partial or complete, phalangeal base, each toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transnasal; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43198", "description": "Esophagoscopy, flexible, transnasal; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HRV SKN CLL SSP AGRFT EA ADD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15012", "description": "HRV SKN CLL SSP AGRFT EA ADD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of pin-retained palatal prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42281", "description": "Insertion of pin-retained palatal prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26145", "description": "Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86905", "description": "Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation or banding of angioaccess arteriovenous fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37607", "description": "Ligation or banding of angioaccess arteriovenous fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 628.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; whirlpool", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97022", "description": "Application of a modality to 1 or more areas; whirlpool", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stoma plug or seal, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5081", "description": "Stoma plug or seal, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TORIPALIMAB-TPZI 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3263", "description": "INJ TORIPALIMAB-TPZI 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43226", "description": "Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58554", "description": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2068.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96423", "description": "Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrostomy, nephrotomy with drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50040", "description": "Nephrostomy, nephrotomy with drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1453.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2302", "description": "Sphere, trifocal, plus or minus 7.12 to plus or minus 20.00, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VII (proconvertin, stable factor)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85230", "description": "Clotting; factor VII (proconvertin, stable factor)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87300", "description": "Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent antiserum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Omental flap, intra-abdominal (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49905", "description": "Omental flap, intra-abdominal (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaporizer, room type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0605", "description": "Vaporizer, room type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anti-phosphatidylserine (phospholipid) antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86148", "description": "Anti-phosphatidylserine (phospholipid) antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91013", "description": "ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, recline only, with power shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1005", "description": "Wheelchair accessory, power seating system, recline only, with power shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 971.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, without stand (table model), includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0200", "description": "Heat lamp, without stand (table model), includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9595", "description": "PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1083.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90840", "description": "Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ HOSPITAL CARE/DAY 35 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99233", "description": "SBSQ HOSPITAL CARE/DAY 35 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1177.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58805", "description": "Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair and refitting spectacles; spectacle prosthesis for aphakia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92371", "description": "Repair and refitting spectacles; spectacle prosthesis for aphakia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, levofloxacin, 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1956", "description": "Injection, levofloxacin, 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of ectopic pregnancy; cervical, with evacuation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59140", "description": "Surgical treatment of ectopic pregnancy; cervical, with evacuation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 703.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64561", "description": "Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 475.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90714", "description": "Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of palate, with island flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42227", "description": "Lengthening of palate, with island flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Maximum breathing capacity, maximal voluntary ventilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94200", "description": "Maximum breathing capacity, maximal voluntary ventilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27369", "description": "Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22526", "description": "Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 500.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); open, deep axillary node(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38525", "description": "Biopsy or excision of lymph node(s); open, deep axillary node(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 782.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87801", "description": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67908", "description": "Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 650.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9965", "description": "Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BASIC RADIATION DOSIMETRY CALCULATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77300", "description": "BASIC RADIATION DOSIMETRY CALCULATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of perineal urinary extravasation; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53085", "description": "Drainage of perineal urinary extravasation; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1032.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amylase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82150", "description": "Amylase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRPTCS PNEUM ANTB SEROT IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86581", "description": "STRPTCS PNEUM ANTB SEROT IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0070", "description": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0256", "description": "Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2398", "description": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular (myodisc), per lens, single vision", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2115", "description": "Lenticular (myodisc), per lens, single vision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93624", "description": "Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy, including induction or attempted induction of arrhythmia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62304", "description": "Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46945", "description": "INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 623.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46742", "description": "Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4341.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT HUMERUS W/WO INT FIXJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24400", "description": "OSTEOT HUMERUS W/WO INT FIXJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1391.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2606", "description": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 601.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, facial bones; reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21209", "description": "Osteoplasty, facial bones; reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 970.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81251", "description": "GBA (glucosidase, beta, acid) (eg, Gaucher disease) gene analysis, common variants (eg, N370S, 84GG, L444P, IVS2+1G>A)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1065.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81326", "description": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ectropion; excision tarsal wedge", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67916", "description": "Repair of ectropion; excision tarsal wedge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 644.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, imiglucerase, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1786", "description": "Injection, imiglucerase, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66761", "description": "Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (per session)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urea nitrogen, clearance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84545", "description": "Urea nitrogen, clearance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; repair recurrent inguinal hernia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49651", "description": "Laparoscopy, surgical; repair recurrent inguinal hernia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33270", "description": "INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72148", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, left or right pulmonary artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36014", "description": "Selective catheter placement, left or right pulmonary artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95148", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSQ ELEC NRV STM ELEC TRIGEM NRV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0733", "description": "TRANSQ ELEC NRV STM ELEC TRIGEM NRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy belt with peristomal hernia support", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4396", "description": "Ostomy belt with peristomal hernia support", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMBND TL+ TLX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4426", "description": "DERMBND TL+ TLX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1149.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGICORD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4218", "description": "SURGICORD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COM WRAP W STRAPS FOOT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6587", "description": "GRAD COM WRAP W STRAPS FOOT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93282", "description": "PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 978.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64787", "description": "Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 362.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4069.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3109.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with endoscopic mucosal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43211", "description": "Esophagoscopy, flexible, transoral; with endoscopic mucosal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 358.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35372", "description": "Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1620.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46710", "description": "Repair of ileoanal pouch fistula/sinus (eg, perineal or vaginal), pouch advancement; transperineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1949.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION BUPIVICAINE NOS 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0665", "description": "INJECTION BUPIVICAINE NOS 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58952", "description": "RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2738.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3823.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43245", "description": "Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 275.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy; for osteomyelitis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61501", "description": "Craniectomy; for osteomyelitis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1940.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20808", "description": "Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6260.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4028", "description": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACETC/FRMT ARTHRD LUM 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63052", "description": "LAM FACETC/FRMT ARTHRD LUM 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46942", "description": "Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 313.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO CSF PRION PRTN QUAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0584U", "description": "NEURO CSF PRION PRTN QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mitoxantrone HCl, per 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9293", "description": "Injection, mitoxantrone HCl, per 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic apheresis; for platelets", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36513", "description": "Therapeutic apheresis; for platelets", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12018", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 317.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM RBC ADS WHL BLD NORMOXIC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0304U", "description": "HEM RBC ADS WHL BLD NORMOXIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3113.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88360", "description": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystectomy with exploration of common duct;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47610", "description": "Cholecystectomy with exploration of common duct;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2142.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7017", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurectomy, intrinsic musculature of foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28055", "description": "Neurectomy, intrinsic musculature of foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 647.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VASOPRESSIN LONG GROVE 1 U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2596", "description": "VASOPRESSIN LONG GROVE 1 U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27756", "description": "Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1012.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31233", "description": "NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Beta 2 Glycoprotein I antibody, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86146", "description": "Beta 2 Glycoprotein I antibody, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; small dense LDL cholesterol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83722", "description": "Lipoprotein, direct measurement; small dense LDL cholesterol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNST BFRNT SP ORB RM LW FHD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21175", "description": "RCNST BFRNT SP ORB RM LW FHD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3444.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54900", "description": "Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1265.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LRT IAD 18BCT/8VIR&7ARG RNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0528U", "description": "LRT IAD 18BCT/8VIR&7ARG RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 952.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TNOT ADDUCTR SUBQ OPN NEURCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27003", "description": "TNOT ADDUCTR SUBQ OPN NEURCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1026.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30901", "description": "Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0807", "description": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3049.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Powered pressure-reducing air mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0277", "description": "Powered pressure-reducing air mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; histoplasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86698", "description": "Antibody; histoplasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48001", "description": "Placement of drains, peripancreatic, for acute pancreatitis; with cholecystostomy, gastrostomy, and jejunostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3901.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTAMOEB HIST GROUP AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87337", "description": "ENTAMOEB HIST GROUP AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC THYR MUT ALYS 10 GEN&37", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0245U", "description": "ONC THYR MUT ALYS 10 GEN&37", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1899.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urography, infusion, drip technique and/or bolus technique;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74410", "description": "Urography, infusion, drip technique and/or bolus technique;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22116", "description": "PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ECULIZUMAB AAGH 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5151", "description": "INJ ECULIZUMAB AAGH 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRS DNA&MRNA SEQ 74", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0313U", "description": "ONC PNCRS DNA&MRNA SEQ 74", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting inhibitors or anticoagulants; antithrombin III, antigen assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85301", "description": "Clotting inhibitors or anticoagulants; antithrombin III, antigen assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31654", "description": "BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33427", "description": "Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or without ring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4132.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90869", "description": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 478.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gingivectomy, excision gingiva, each quadrant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41820", "description": "Gingivectomy, excision gingiva, each quadrant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 844.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, levoleucovorin, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0642", "description": "Injection, levoleucovorin, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1882.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0144", "description": "SCR CYTOPATH CERV/VAG THIN LAY SCR AUTO UND PHYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81376", "description": "HLA Class II typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33783", "description": "Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5863.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast pump, manual, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0602", "description": "Breast pump, manual, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32650", "description": "Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1179.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3452.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arteriovenous anastomosis, open; by forearm vein transposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36820", "description": "Arteriovenous anastomosis, open; by forearm vein transposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1212.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1227.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, orphenadrine citrate, up to 60 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2360", "description": "Injection, orphenadrine citrate, up to 60 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 527.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC TEMP BALO ARTL OCC H/N", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61623", "description": "EVASC TEMP BALO ARTL OCC H/N", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 962.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTRRPHY SUTR DUOL/GSTR ULCR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43840", "description": "GSTRRPHY SUTR DUOL/GSTR ULCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2322.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL EXCISION BONE CLAVICLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23180", "description": "PRTL EXCISION BONE CLAVICLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1175.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION VELMANASE ALFA-TYCV 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0217", "description": "INJECTION VELMANASE ALFA-TYCV 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78492", "description": "MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2202.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 841.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOLID ORGN DNA 257 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0244U", "description": "ONC SOLID ORGN DNA 257 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5250.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25443", "description": "Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1323.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5123", "description": "Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLH1 GENE MRNA SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0158U", "description": "MLH1 GENE MRNA SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88275", "description": "Molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of intra-aortic balloon assist device, percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33968", "description": "Removal of intra-aortic balloon assist device, percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection into turbinate(s), therapeutic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30200", "description": "Injection into turbinate(s), therapeutic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard hemi (low seat) wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0002", "description": "Standard hemi (low seat) wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcium; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82310", "description": "Calcium; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4170.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 9-10 studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95911", "description": "Nerve conduction studies; 9-10 studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, shoulder; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23333", "description": "Removal of foreign body, shoulder; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 824.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LECANEMAB-IRMB FOR IV INJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0174", "description": "LECANEMAB-IRMB FOR IV INJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical lymphadenectomy (modified radical neck dissection)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38724", "description": "Cervical lymphadenectomy (modified radical neck dissection)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2229.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 322.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44207", "description": "Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2959.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, nonsegmental home model", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0650", "description": "Pneumatic compressor, nonsegmental home model", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19301", "description": "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2216", "description": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shock absorber for power wheelchair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1016", "description": "Shock absorber for power wheelchair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, femoral vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34501", "description": "Valvuloplasty, femoral vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1500.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53415", "description": "Urethroplasty, transpubic or perineal, 1-stage, for reconstruction or repair of prostatic or membranous urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1764.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28345", "description": "Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 583.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26426", "description": "Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 849.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97810", "description": "Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or destruction lingual tonsil, any method (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42870", "description": "Excision or destruction lingual tonsil, any method (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 970.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0072", "description": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or fulguration; Skene's glands", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53270", "description": "Excision or fulguration; Skene's glands", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; synovectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29820", "description": "Arthroscopy, shoulder, surgical; synovectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 895.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32506", "description": "Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additional resection, ipsilateral (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76941", "description": "Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M NEW PATIENT 45 MINUTES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9484", "description": "REMOTE IN-HOME VISIT E/M NEW PATIENT 45 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alpha-fetoprotein (AFP); amniotic fluid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82106", "description": "Alpha-fetoprotein (AFP); amniotic fluid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1982.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44110", "description": "Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1442.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platforms for home blood glucose monitor, 50 per box", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4255", "description": "Platforms for home blood glucose monitor, 50 per box", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99402", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular pathology procedure; physician interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0452", "description": "Molecular pathology procedure; physician interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45395", "description": "Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3208.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation at knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27598", "description": "Disarticulation at knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1171.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 927.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, margetuximab-cmkb, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9353", "description": "Injection, margetuximab-cmkb, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of epididymis, needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54800", "description": "Biopsy of epididymis, needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27634", "description": "Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52317", "description": "Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 530.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lip; V-excision with primary direct linear closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40520", "description": "Excision of lip; V-excision with primary direct linear closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 578.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for hip arthrography; with anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27095", "description": "Injection procedure for hip arthrography; with anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93318", "description": "ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasogastric tubing without stylet", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4082", "description": "Nasogastric tubing without stylet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RHD&RHCE GNTYP RHD1-10&RHCE5", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0198U", "description": "RHD&RHCE GNTYP RHD1-10&RHCE5", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT CA CFDNA QPCR ASY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0453U", "description": "ONC CLRCT CA CFDNA QPCR ASY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of ureterovisceral fistula (including visceral repair)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50930", "description": "Closure of ureterovisceral fistula (including visceral repair)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1719.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61642", "description": "Balloon dilatation of intracranial vasospasm, percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, crutch and cane holder, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2207", "description": "Wheelchair accessory, crutch and cane holder, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exhalation port with or without swivel used with accessories for positive airway devices, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7045", "description": "Exhalation port with or without swivel used with accessories for positive airway devices, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99396", "description": "PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEQUESTRECTOMY CLAVICLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23170", "description": "SEQUESTRECTOMY CLAVICLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 969.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61586", "description": "Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4918.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0077", "description": "Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ METHOTREXATE SODIUM 50 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9260", "description": "INJ METHOTREXATE SODIUM 50 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Safety enclosure frame/canopy for use with hospital bed, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0316", "description": "Safety enclosure frame/canopy for use with hospital bed, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EFGARTIGIMOD ALFA-FCAB 2MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9332", "description": "INJ EFGARTIGIMOD ALFA-FCAB 2MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61651", "description": "EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 419.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20703", "description": "REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 132.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exchange transfusion, blood; newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36450", "description": "Exchange transfusion, blood; newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90653", "description": "Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of external cardiac tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33130", "description": "Resection of external cardiac tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2377.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4216", "description": "Sterile water, saline and/or dextrose, diluent/flush, 10 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34839", "description": "Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ OPEN GSTR RSTCV PX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43848", "description": "REVJ OPEN GSTR RSTCV PX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3274.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67902", "description": "Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1063.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLETE ACA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4302", "description": "COMPLETE ACA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36830", "description": "Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1109.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for sialography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42550", "description": "Injection procedure for sialography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRAPPING ANKLE /FOOT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29540", "description": "STRAPPING ANKLE /FOOT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUDYN DL OR NUDYN DL MESH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4285", "description": "NUDYN DL OR NUDYN DL MESH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "U0002", "description": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX CONTACT CORNEAL LENS APHAKIA 1 EYE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92315", "description": "RX CONTACT CORNEAL LENS APHAKIA 1 EYE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26706", "description": "Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 743.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81521", "description": "ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ibuprofen, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1741", "description": "Injection, ibuprofen, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88108", "description": "Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2211", "description": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INCISION OF TENDON SHEATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25000", "description": "INCISION OF TENDON SHEATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 607.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ankle implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27704", "description": "Removal of ankle implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 940.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic manipulative treatment (OMT); 9-10 body regions involved", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98929", "description": "Osteopathic manipulative treatment (OMT); 9-10 body regions involved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, meropenem, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2185", "description": "Injection, meropenem, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacles, except for aphakia; bifocal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92341", "description": "Fitting of spectacles, except for aphakia; bifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33522", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1213.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42420", "description": "Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1804.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34711", "description": "DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 483.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; colonoscopy on individual at high risk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0105", "description": "Colorectal cancer screening; colonoscopy on individual at high risk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "53" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22901", "description": "Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1165.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ZYMFENTRA 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1748", "description": "INJ ZYMFENTRA 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft; derma-fat-fascia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15770", "description": "Graft; derma-fat-fascia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1073.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81361", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20696", "description": "XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1887.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for transection of corpus callosum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61541", "description": "Craniotomy with elevation of bone flap; for transection of corpus callosum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3962.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46270", "description": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 731.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 929.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OVR SERUM ALYS 39 GPS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0577U", "description": "ONC OVR SERUM ALYS 39 GPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53860", "description": "Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43770", "description": "Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1953.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of dislocating patella; with patellectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27424", "description": "Reconstruction of dislocating patella; with patellectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1264.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, decitabine, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0894", "description": "Injection, decitabine, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96372", "description": "Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VACCINIA(SMALLPOX)VIRUS VACCINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90622", "description": "VACCINIA(SMALLPOX)VIRUS VACCINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, femur; lengthening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27466", "description": "Osteoplasty, femur; lengthening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2461.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CUL TYP ID BLD PTHGN 6+ TRGT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87154", "description": "CUL TYP ID BLD PTHGN 6+ TRGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4433", "description": "Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96361", "description": "Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N-INVAS EST C FFR SW ALY CTA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75580", "description": "N-INVAS EST C FFR SW ALY CTA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1522.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG); including recording awake and drowsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95816", "description": "Electroencephalogram (EEG); including recording awake and drowsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 638.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, major artery (eg, post-traumatic, rupture); neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37615", "description": "Ligation, major artery (eg, post-traumatic, rupture); neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 825.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hemin, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1640", "description": "Injection, hemin, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 440.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST WRIST FLEXION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1808", "description": "ADJUST WRIST FLEXION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31255", "description": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 479.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86902", "description": "Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinogen; activity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85384", "description": "Fibrinogen; activity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, upper arm or elbow area; deep abscess or hematoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23930", "description": "Incision and drainage, upper arm or elbow area; deep abscess or hematoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myeloperoxidase (MPO)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83876", "description": "Myeloperoxidase (MPO)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58572", "description": "Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1694.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myringotomy including aspiration and/or eustachian tube inflation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69420", "description": "Myringotomy including aspiration and/or eustachian tube inflation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9983", "description": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 40 MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9489", "description": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 40 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61595", "description": "TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3977.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36821", "description": "Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1097.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63087", "description": "VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4215.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21433", "description": "Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2721.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TATTOOING INCL MICROPIGMENTATION EA 20.0 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11922", "description": "TATTOOING INCL MICROPIGMENTATION EA 20.0 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein; Western Blot, with interpretation and report, blood or other body fluid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84181", "description": "Protein; Western Blot, with interpretation and report, blood or other body fluid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadoteridol, (ProHance multipack), per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9576", "description": "Injection, gadoteridol, (ProHance multipack), per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neutralization test, viral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86382", "description": "Neutralization test, viral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47900", "description": "Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2373.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81309", "description": "PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of tongue; anterior two-thirds", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41100", "description": "Biopsy of tongue; anterior two-thirds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of amniotic membrane on the ocular surface; single layer, sutured", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65779", "description": "Placement of amniotic membrane on the ocular surface; single layer, sutured", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL EXCISION BONE PROX HUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23184", "description": "PRTL EXCISION BONE PROX HUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1249.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 513.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, knee, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73580", "description": "Radiologic examination, knee, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mouthpiece", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4617", "description": "Mouthpiece", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1914.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEBRIDEMENT OPEN WOUND 20 SQ CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97597", "description": "DEBRIDEMENT OPEN WOUND 20 SQ CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81426", "description": "GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4064.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, complete assembly, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0045", "description": "Footrest, complete assembly, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57522", "description": "Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 411.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21184", "description": "RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3841.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STCK B KNEE 40MMHG OREQUAL TO 7.0%&<8.0%", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3051F", "description": "MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0%", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, tibiofibular joint, proximal or distal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27871", "description": "Arthrodesis, tibiofibular joint, proximal or distal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1157.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2112", "description": "Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22208", "description": "OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 989.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58943", "description": "OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2042.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ankle, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73615", "description": "Radiologic examination, ankle, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27130", "description": "Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2088.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27170", "description": "Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1914.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78630", "description": "Cerebrospinal fluid flow, imaging (not including introduction of material); cisternography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 472.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GLOVE CUST HVY WT EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6580", "description": "GRADIENT COMPR GLOVE CUST HVY WT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 466.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61750", "description": "Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2621.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intestinal plication (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44680", "description": "Intestinal plication (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1847.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastroenterology (irritable bowel syndrome [IBS])", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0164U", "description": "Gastroenterology (irritable bowel syndrome [IBS])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67903", "description": "Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 705.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4725.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARE MGMT SVC BHVL HLTH COND", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99484", "description": "CARE MGMT SVC BHVL HLTH COND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carotene", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82380", "description": "Carotene", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 130.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80432", "description": "Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50385", "description": "REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 328.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2328", "description": "Power wheelchair accessory, head control or extremity control interface, electronic, proportional, including all related electronics and fixed mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEMETREXED ACCORD 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9296", "description": "INJ PEMETREXED ACCORD 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "YT GNOTYP ACHE EXON 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0201U", "description": "YT GNOTYP ACHE EXON 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43202", "description": "Esophagoscopy, flexible, transoral; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, foot; subcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28190", "description": "Removal of foreign body, foot; subcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, tibia and fibula, lengthening or shortening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27715", "description": "Osteoplasty, tibia and fibula, lengthening or shortening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2448.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6454", "description": "Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 230.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81344", "description": "TBP (TATA box binding protein) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31648", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of bronchial valve(s), initial lobe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN MRI ALYS BRN W/DX MRI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0866T", "description": "QUAN MRI ALYS BRN W/DX MRI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47141", "description": "Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7296.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of mandible, by enucleation and/or curettage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21040", "description": "Excision of benign tumor or cyst of mandible, by enucleation and/or curettage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 936.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scrotal exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55110", "description": "Scrotal exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 637.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0474T", "description": "Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 633.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of knee dislocation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27552", "description": "Closed treatment of knee dislocation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1087.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; extracapsular (other than 66840, 66850, 66852)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66940", "description": "Removal of lens material; extracapsular (other than 66840, 66850, 66852)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1155.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43772", "description": "Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1632.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87560", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76641", "description": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99473", "description": "SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cathepsin-D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82387", "description": "Cathepsin-D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tacrolimus, extended release, (Astagraf XL), oral, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7508", "description": "Tacrolimus, extended release, (Astagraf XL), oral, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO NEW SF 15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98000", "description": "SYNCH AUDIO-VIDEO NEW SF 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADD PWR TILLER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0984", "description": "ADD PWR TILLER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 379.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV DNA MRK VAG FLUID", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0557U", "description": "NFCT DS BV DNA MRK VAG FLUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74261", "description": "Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33236", "description": "Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system, atrial or ventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1409.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression of orbit only, transcranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61330", "description": "Decompression of orbit only, transcranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3339.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62230", "description": "Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1573.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caster pin lock, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0073", "description": "Caster pin lock, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Homocysteine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83090", "description": "Homocysteine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11042", "description": "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44392", "description": "Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 318.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9547", "description": "Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3332.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ATHRC CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37274", "description": "RVSC EVSC FPVT ATHRC CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enterovesical fistula; without intestinal or bladder resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44660", "description": "Closure of enterovesical fistula; without intestinal or bladder resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2169.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABO GNOTYP NEXT GNRJ SEQ ABO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0221U", "description": "ABO GNOTYP NEXT GNRJ SEQ ABO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3471", "description": "Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0147", "description": "Screening cytopathology smears, cervical or vaginal, performed by automated system under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43196", "description": "Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 301.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33501", "description": "Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1950.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4030", "description": "Cast supplies, long leg cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Retrobulbar injection; medication (separate procedure, does not include supply of medication)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67500", "description": "Retrobulbar injection; medication (separate procedure, does not include supply of medication)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kidney function study, non-imaging radioisotopic study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78725", "description": "Kidney function study, non-imaging radioisotopic study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; traction, mechanical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97012", "description": "Application of a modality to 1 or more areas; traction, mechanical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67906", "description": "Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 737.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78491", "description": "MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2202.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0003", "description": "Lightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, subtalar joint, surgical; with synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29905", "description": "Arthroscopy, subtalar joint, surgical; with synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 821.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34001", "description": "Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1529.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin (Cuvitru), 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1555", "description": "Injection, immune globulin (Cuvitru), 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst new pt 45 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2003", "description": "Post-D/C H Vst new pt 45 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP FENESTRA PLUS SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4405", "description": "XWRAP FENESTRA PLUS SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trypsin; duodenal fluid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84485", "description": "Trypsin; duodenal fluid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fat differential, feces, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82715", "description": "Fat differential, feces, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of entropion; excision tarsal wedge", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67923", "description": "Repair of entropion; excision tarsal wedge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69222", "description": "Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL CARE TRAINING 30 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0539", "description": "INITIAL CARE TRAINING 30 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GLUCOSE MONITOR W CARTRIDGE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2104", "description": "GLUCOSE MONITOR W CARTRIDGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridotomy by stab incision (separate procedure); except transfixion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66500", "description": "Iridotomy by stab incision (separate procedure); except transfixion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 614.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88350", "description": "Immunofluorescence, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCHTH CRISIS APP SITE SRV 1ST 60M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0017", "description": "PSYCHTH CRISIS APP SITE SRV 1ST 60M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INHERENT VISIT TO INPT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0545", "description": "INHERENT VISIT TO INPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RSV ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87807", "description": "RSV ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROPH TX W/WO MTHYLMTHCRYLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24498", "description": "PROPH TX W/WO MTHYLMTHCRYLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1440.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, midtarsal or tarsometatarsal, single joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28740", "description": "Arthrodesis, midtarsal or tarsometatarsal, single joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1016.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of shunt; ventriculo-peritoneal, -pleural, other terminus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62223", "description": "Creation of shunt; ventriculo-peritoneal, -pleural, other terminus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1909.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of posterior segmental instrumentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22852", "description": "Removal of posterior segmental instrumentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1272.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ IMMUNE GLOBULIN CUTAQUIG 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1551", "description": "INJ IMMUNE GLOBULIN CUTAQUIG 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36595", "description": "Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1215.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolysis for ovarian vein syndrome", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50722", "description": "Ureterolysis for ovarian vein syndrome", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1604.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM CTC SLCTN PD-L1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0492U", "description": "ONC SOL TUM CTC SLCTN PD-L1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3652.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95803", "description": "Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32658", "description": "Thoracoscopy, surgical; with removal of clot or foreign body from pericardial sac", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1264.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FUROSEMIDE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1938", "description": "INJ FUROSEMIDE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70546", "description": "Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPRNL BALO CNTNC DEV UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53452", "description": "TPRNL BALO CNTNC DEV UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 663.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M NEW PATIENT 10 MINUTES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9481", "description": "REMOTE IN-HOME VISIT E/M NEW PATIENT 10 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, total, abdominal, with proctectomy; with ileostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44155", "description": "Colectomy, total, abdominal, with proctectomy; with ileostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3464.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 131.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46610", "description": "Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23075", "description": "Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 578.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLT OSTEOT RLGNM IMED RD HUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24410", "description": "MLT OSTEOT RLGNM IMED RD HUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1754.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; blood smear, microscopic examination with manual differential WBC count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85007", "description": "Blood count; blood smear, microscopic examination with manual differential WBC count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LITT ICR 1 TRAJ 1 SMPL LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61736", "description": "LITT ICR 1 TRAJ 1 SMPL LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2182.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50525", "description": "Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2523.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, Dacron, ePTFE, bovine pericardium)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35883", "description": "Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, Dacron, ePTFE, bovine pericardium)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1983.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I CP HCI B BRN NO TX EQV MXPM 500MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0703", "description": "I CP HCI B BRN NO TX EQV MXPM 500MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of femur;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27355", "description": "Excision or curettage of bone cyst or benign tumor of femur;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1036.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, fixed height, with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0250", "description": "Hospital bed, fixed height, with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRNA 5 GENES UR ALG RISK RECR UROTHELIAL CA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0013M", "description": "ONC MRNA 5 GENES UR ALG RISK RECR UROTHELIAL CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, radius OR ulna; shortening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25390", "description": "Osteoplasty, radius OR ulna; shortening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1258.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52300", "description": "Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 430.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51792", "description": "Stimulus evoked response (eg, measurement of bulbocavernosus reflex latency time)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 341.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty, medialization, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31591", "description": "Laryngoplasty, medialization, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1764.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67974", "description": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, 1 stage or first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1338.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lancets, per box of 100", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4259", "description": "Lancets, per box of 100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KL" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION FLUPHENAZINE HCL 1.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2679", "description": "INJECTION FLUPHENAZINE HCL 1.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TAU PHOSPHORYLATED PTAU217", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0479U", "description": "TAU PHOSPHORYLATED PTAU217", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61312", "description": "Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3805.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STK B KNEE 18-30MM HG CUST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6610", "description": "GD CMP STK B KNEE 18-30MM HG CUST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80400", "description": "ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25265", "description": "Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1227.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACTIN ANTIBODY EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86015", "description": "ACTIN ANTIBODY EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0055U", "description": "Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4860.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral shaft fracture with plate/screws, with or without cerclage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27507", "description": "Open treatment of femoral shaft fracture with plate/screws, with or without cerclage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1587.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ARISTADA INITIO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1943", "description": "INJ ARISTADA INITIO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47420", "description": "Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2255.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of arterial inflow and venous outflow of penile vessels; complete study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93980", "description": "Duplex scan of arterial inflow and venous outflow of penile vessels; complete study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 3-4 studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95908", "description": "Nerve conduction studies; 3-4 studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CA VI PSP&SP1 ANTB IA SEMIQL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0522U", "description": "CA VI PSP&SP1 ANTB IA SEMIQL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of major peripheral nerve, arm or leg, except sciatic; including transposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64856", "description": "Suture of major peripheral nerve, arm or leg, except sciatic; including transposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1664.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HMATRIX PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4134", "description": "HMATRIX PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0329", "description": "ELECMAGNET TX ULCERS NOT HEALING 30 DAYS CARE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ALYS B-AMYL 1-42&1-40", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0358U", "description": "NEURO ALYS B-AMYL 1-42&1-40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27076", "description": "Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4016.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphogluconate, 6-, dehydrogenase, RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84085", "description": "Phosphogluconate, 6-, dehydrogenase, RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR EMPTG IMG SM BWL TRNST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78265", "description": "GSTR EMPTG IMG SM BWL TRNST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 542.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tobramycin, inhalation solution, FDA-approved final product, noncompounded, unit dose form, administered through DME, per 300 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7682", "description": "Tobramycin, inhalation solution, FDA-approved final product, noncompounded, unit dose form, administered through DME, per 300 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92588", "description": "DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27227", "description": "Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2677.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36228", "description": "SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 422.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heterophile antibodies; screening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86308", "description": "Heterophile antibodies; screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antitipping device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0971", "description": "Manual wheelchair accessory, antitipping device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bladder instillation of anticarcinogenic agent (including retention time)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51720", "description": "Bladder instillation of anticarcinogenic agent (including retention time)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21932", "description": "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1134.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of ulnar shaft fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25535", "description": "Closed treatment of ulnar shaft fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power module for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0479", "description": "Power module for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21627.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement cushions for jaw motion rehabilitation system, package of 6", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1701", "description": "Replacement cushions for jaw motion rehabilitation system, package of 6", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ INTRAPERITONEAL CATHETER W/IMG GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49418", "description": "INSJ INTRAPERITONEAL CATHETER W/IMG GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87650", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91035", "description": "Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 744.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93304", "description": "Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, heparin sodium, (heparin lock flush), per 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1642", "description": "Injection, heparin sodium, (heparin lock flush), per 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1022.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture pharynx for wound or injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42900", "description": "Suture pharynx for wound or injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 508.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uterine evacuation and curettage for hydatidiform mole", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59870", "description": "Uterine evacuation and curettage for hydatidiform mole", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 889.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 795.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy, midfoot; with tendon lengthening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28261", "description": "Capsulotomy, midfoot; with tendon lengthening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1394.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63266", "description": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3115.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolithotomy; upper one-third of ureter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50610", "description": "Ureterolithotomy; upper one-third of ureter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1477.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; axillary-brachial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35522", "description": "Bypass graft, with vein; axillary-brachial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1949.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ado-trastuzumab emtansine, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9354", "description": "Injection, ado-trastuzumab emtansine, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, penicillin G procaine, aqueous, up to 600,000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2510", "description": "Injection, penicillin G procaine, aqueous, up to 600,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26554", "description": "Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6159.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86617", "description": "Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy; oropharynx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42800", "description": "Biopsy; oropharynx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81381", "description": "HLA Class I typing, high resolution (ie, alleles or allele groups); one allele or allele group (eg, B*57:01P), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 254.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31000", "description": "Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9991", "description": "Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2825.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47800", "description": "Reconstruction, plastic, of extrahepatic biliary ducts with end-to-end anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2663.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77001", "description": "FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0162", "description": "ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27269", "description": "Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2014.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36400", "description": "VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV&VAGINITIS DNA ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81514", "description": "NFCT DS BV&VAGINITIS DNA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG ILIO-CELIAC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35632", "description": "BPG ILIO-CELIAC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3007.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spoke protectors, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0065", "description": "Spoke protectors, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27652", "description": "Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, idursulfase, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1743", "description": "Injection, idursulfase, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 789.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99392", "description": "PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38240", "description": "Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cymetra, injectable, 1 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4112", "description": "Cymetra, injectable, 1 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1234.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4154", "description": "ENTRAL F NUTRITION CMPL NO INHERITED DZ METAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABIO XPL ABIO XPL HY P SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4355", "description": "ABIO XPL ABIO XPL HY P SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IGH@/BCL2 TRANSLOCATION ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81278", "description": "IGH@/BCL2 TRANSLOCATION ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; scapula, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73010", "description": "Radiologic examination; scapula, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77431", "description": "Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 9", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81408", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 9", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3000.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93229", "description": "XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1355.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0570T", "description": "TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 878.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOL PLATELET-RICH PLASMA CHRC WD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0460", "description": "AUTOL PLATELET-RICH PLASMA CHRC WD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, topotecan, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9351", "description": "Injection, topotecan, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dimercaprol, per 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0470", "description": "Injection, dimercaprol, per 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue culture for neoplastic disorders; solid tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88239", "description": "Tissue culture for neoplastic disorders; solid tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent; other peripheral nerve or branch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64640", "description": "Destruction by neurolytic agent; other peripheral nerve or branch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRTC CA MULT IA SERUM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0599U", "description": "ONC PNCRTC CA MULT IA SERUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32562", "description": "Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99486", "description": "SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96365", "description": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62323", "description": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30580", "description": "Repair fistula; oromaxillary (combine with 31030 if antrotomy is included)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81171", "description": "AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52234", "description": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 377.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or unroofing of cyst(s) of kidney", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50280", "description": "Excision or unroofing of cyst(s) of kidney", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1484.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION LABETALOL HCL 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1920", "description": "INJECTION LABETALOL HCL 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0004M", "description": "Scoliosis, DNA analysis of 53 single nucleotide polymorphisms (SNPs), using saliva, prognostic algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87472", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of conjunctiva", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68100", "description": "Biopsy of conjunctiva", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42961", "description": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 656.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32486", "description": "Removal of lung, other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3972.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67218", "description": "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1988.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of ovary, unilateral or bilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58900", "description": "Biopsy of ovary, unilateral or bilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 691.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s); with aspiration of hematoma or cyst, intracerebral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61156", "description": "Burr hole(s); with aspiration of hematoma or cyst, intracerebral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2315.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; female, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0326", "description": "Urinal; female, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of nephrocutaneous or pyelocutaneous fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50520", "description": "Closure of nephrocutaneous or pyelocutaneous fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2002.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61521", "description": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5712.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45347", "description": "Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of infected graft; thorax", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35905", "description": "Excision of infected graft; thorax", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2797.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyelotomy; with drainage, pyelostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50125", "description": "Pyelotomy; with drainage, pyelostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1538.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27557", "description": "Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1695.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen dressing, sterile, size more than 48 sq in, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6023", "description": "Collagen dressing, sterile, size more than 48 sq in, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANAPLSMA PHGCYTOPHLM AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87468", "description": "ANAPLSMA PHGCYTOPHLM AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, foot; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73630", "description": "Radiologic examination, foot; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ ANT SGM AQ DRG DEV 1+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0671T", "description": "INSJ ANT SGM AQ DRG DEV 1+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1782.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1711.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4035", "description": "Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glutamate dehydrogenase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82965", "description": "Glutamate dehydrogenase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99310", "description": "SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23802", "description": "Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2124.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90863", "description": "PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pereyra procedure, including anterior colporrhaphy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57289", "description": "Pereyra procedure, including anterior colporrhaphy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1243.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture of orbit, except blowout; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21401", "description": "Closed treatment of fracture of orbit, except blowout; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64489", "description": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2205", "description": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61107", "description": "TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrotomy, with exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50045", "description": "Nephrotomy, with exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1464.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gemcitabine HCl, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9201", "description": "Injection, gemcitabine HCl, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 796.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2377", "description": "Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21431", "description": "Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1135.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62267", "description": "Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 233.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27386", "description": "Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1446.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2385.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 593.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87502", "description": "INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; repair initial inguinal hernia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49650", "description": "Laparoscopy, surgical; repair initial inguinal hernia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 772.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Penile plethysmography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54240", "description": "Penile plethysmography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROTOMY GLENOHUMERAL JT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23105", "description": "ARTHROTOMY GLENOHUMERAL JT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1085.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0185", "description": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, shoulder; 1 view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73020", "description": "Radiologic examination, shoulder; 1 view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33406", "description": "Replacement, aortic valve, open, with cardiopulmonary bypass; with allograft valve (freehand)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4891.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81374", "description": "HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Behavioral and qualitative analysis of voice and resonance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92524", "description": "Behavioral and qualitative analysis of voice and resonance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transparent film, sterile, 16 sq in or less, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6257", "description": "Transparent film, sterile, 16 sq in or less, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acylcarnitines; qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82016", "description": "Acylcarnitines; qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VANCOMYCIN MYLAN 10MG NT J3373", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3374", "description": "INJ VANCOMYCIN MYLAN 10MG NT J3373", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis C antibody; confirmatory test (eg, immunoblot)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86804", "description": "Hepatitis C antibody; confirmatory test (eg, immunoblot)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS PTHGN-SNA 10VIR&4BCT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0564U", "description": "NFCT DS PTHGN-SNA 10VIR&4BCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52260", "description": "Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1100.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of medial malleolus fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27766", "description": "Open treatment of medial malleolus fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1035.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86352", "description": "Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD COMP STK FULL /CHAP 40MM HG< EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6538", "description": "GRD COMP STK FULL /CHAP 40MM HG< EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRTC CA MULT IA ECLIA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0342U", "description": "ONC PNCRTC CA MULT IA ECLIA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, drive wheel gear box, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2369", "description": "Power wheelchair component, drive wheel gear box, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 564.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of ocular prosthesis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2626", "description": "Reduction of ocular prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63280", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3904.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, total electric (head, foot, and height adjustments), without side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0297", "description": "Hospital bed, total electric (head, foot, and height adjustments), without side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LNG MULTIOMICS PLSM ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0395U", "description": "ONC LNG MULTIOMICS PLSM ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1196.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of indwelling tunneled pleural catheter with cuff", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32550", "description": "Insertion of indwelling tunneled pleural catheter with cuff", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 12331.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87497", "description": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, flexor, finger, open, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26455", "description": "Tenotomy, flexor, finger, open, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 818.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2203", "description": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of amniotic membrane on the ocular surface; without sutures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65778", "description": "Placement of amniotic membrane on the ocular surface; without sutures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THRC FASCIAL PLN BLK BI NFS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64469", "description": "THRC FASCIAL PLN BLK BI NFS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Underarm pad, crutch, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4635", "description": "Underarm pad, crutch, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intermittent urinary catheter, with insertion supplies", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4353", "description": "Intermittent urinary catheter, with insertion supplies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total thyroid lobectomy, unilateral; with or without isthmusectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60220", "description": "Total thyroid lobectomy, unilateral; with or without isthmusectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1144.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58120", "description": "Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2392", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterotomy for insertion of indwelling stent, all types", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50605", "description": "Ureterotomy for insertion of indwelling stent, all types", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1695.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31627", "description": "BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1457.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97140", "description": "Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17266", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0232T", "description": "Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD CMP WR NONELS BK 30-50MM SRG EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6545", "description": "GRD CMP WR NONELS BK 30-50MM SRG EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL HIP SPICA CAST 1 LEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29305", "description": "APPL HIP SPICA CAST 1 LEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR TRUNK HIP SUPPORT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1034", "description": "WHEELCHAIR TRUNK HIP SUPPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15150", "description": "Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, adapter for amputee, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0959", "description": "Manual wheelchair accessory, adapter for amputee, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, division, and stripping, short saphenous vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37718", "description": "Ligation, division, and stripping, short saphenous vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, without stand (table model), includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0200", "description": "Heat lamp, without stand (table model), includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14001", "description": "Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1074.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RHD&RHCE GNTYP NEXT GNRJ SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0222U", "description": "RHD&RHCE GNTYP NEXT GNRJ SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61611", "description": "Transection or ligation, carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 818.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2604", "description": "Skin protection wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of tendon, extensor, hand or finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26476", "description": "Lengthening of tendon, extensor, hand or finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1161.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sirolimus, oral, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7520", "description": "Sirolimus, oral, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Heparin sodium, per 1000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1644", "description": "Injection, Heparin sodium, per 1000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45315", "description": "Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 146.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0011U", "description": "RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of penile prosthesis; non-inflatable (semi-rigid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54400", "description": "Insertion of penile prosthesis; non-inflatable (semi-rigid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 847.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PFAS 9 CMPND LC-MS/MS PLS/SR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0457U", "description": "PFAS 9 CMPND LC-MS/MS PLS/SR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12037", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 25 MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9488", "description": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 25 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of previously placed central venous catheter under fluoroscopic guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36597", "description": "Repositioning of previously placed central venous catheter under fluoroscopic guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6233", "description": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, innerspring", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0271", "description": "Mattress, innerspring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25316", "description": "Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1528.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0604", "description": "Replacement battery for external infusion pump owned by patient, lithium, 3.6 volt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33504", "description": "Repair of anomalous coronary artery from pulmonary artery origin; by graft, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2544.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67450", "description": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2118.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0143", "description": "Walker, folding, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, total; with Roux-en-Y reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43621", "description": "Gastrectomy, total; with Roux-en-Y reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3816.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81109", "description": "HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2381", "description": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of sublingual gland", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42450", "description": "Excision of sublingual gland", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50972", "description": "NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 547.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ethanolamine oleate, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1430", "description": "Injection, ethanolamine oleate, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 733.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86830", "description": "ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15769", "description": "GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 814.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61000", "description": "Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of forearm and/or wrist; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25065", "description": "Biopsy, soft tissue of forearm and/or wrist; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29855", "description": "Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1308.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPLICATION SHORT LEG SPLINT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29515", "description": "APPLICATION SHORT LEG SPLINT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEF SPLY KIT; ELAST CTRL FED PD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4148", "description": "EEF SPLY KIT; ELAST CTRL FED PD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81216", "description": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of testis, needle (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54500", "description": "Biopsy of testis, needle (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTL ANEUP DNA SEQ CMPR ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0341U", "description": "FTL ANEUP DNA SEQ CMPR ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2850.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74360", "description": "Intraluminal dilation of strictures and/or obstructions (eg, esophagus), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Non-implanted pelvic floor electrical stimulator, complete system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0740", "description": "Non-implanted pelvic floor electrical stimulator, complete system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72157", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 381.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration, repair, and presacral drainage for rectal injury; with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45563", "description": "Exploration, repair, and presacral drainage for rectal injury; with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2868.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 601.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADRNL CORTCL TUM BCHM ASY 25", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0015M", "description": "ADRNL CORTCL TUM BCHM ASY 25", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1958.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neurofibroma or neurolemmoma; cutaneous nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64788", "description": "Excision of neurofibroma or neurolemmoma; cutaneous nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 701.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Coccidioides", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86635", "description": "Antibody; Coccidioides", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46735", "description": "Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3977.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, moxifloxacin, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2280", "description": "Injection, moxifloxacin, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TELISOTUZUMAB VEDOTIN-TLLV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9326", "description": "TELISOTUZUMAB VEDOTIN-TLLV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50431", "description": "NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; auricular prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21086", "description": "Impression and custom preparation; auricular prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1949.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20680", "description": "Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPL ABSRB MSH/PRSTH DLY CLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15778", "description": "IMPL ABSRB MSH/PRSTH DLY CLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 644.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9356", "description": "INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of infected graft; abdomen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35907", "description": "Excision of infected graft; abdomen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3154.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67413", "description": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1474.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4034", "description": "Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0731", "description": "Form-fitting conductive garment for delivery of TENS or NMES (with conductive fibers separated from the patient's skin by layers of fabric)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLDR 10 UR HRBR URTHL CA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0365U", "description": "ONC BLDR 10 UR HRBR URTHL CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN IMPLTJ NEA SACRAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64581", "description": "OPN IMPLTJ NEA SACRAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1031.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25492", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1514.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88363", "description": "Examination and selection of retrieved archival (ie, previously diagnosed) tissue(s) for molecular analysis (eg, KRAS mutational analysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Accessory, arm trough, with or without hand support, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2209", "description": "Accessory, arm trough, with or without hand support, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86300", "description": "Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22318", "description": "OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3059.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78111", "description": "Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoplasty (corneal transplant); penetrating (in pseudophakia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65755", "description": "Keratoplasty (corneal transplant); penetrating (in pseudophakia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1840.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2102.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Group psychotherapy (other than of a multiple-family group)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90853", "description": "Group psychotherapy (other than of a multiple-family group)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical fragility, RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85547", "description": "Mechanical fragility, RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEMIEPIPHYSEAL ARREST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24470", "description": "HEMIEPIPHYSEAL ARREST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1146.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pure tone audiometry (threshold), automated; air only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0208T", "description": "Pure tone audiometry (threshold), automated; air only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), limited, gross and/or microscopic; regional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88036", "description": "Necropsy (autopsy), limited, gross and/or microscopic; regional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 313.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Marsupialization of Bartholin's gland cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56440", "description": "Marsupialization of Bartholin's gland cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV NJX TST VASC FLO FLAP/GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15860", "description": "IV NJX TST VASC FLO FLAP/GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36471", "description": "Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED OVARIAN CANCER GEN SEQ ALYS PANEL 24 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0103U", "description": "HERED OVARIAN CANCER GEN SEQ ALYS PANEL 24 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2615.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58180", "description": "Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1545.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL PERQ RIGHT HEART VAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33997", "description": "RMVL PERQ RIGHT HEART VAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PURAPLY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4195", "description": "PURAPLY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ARGATROBAN NOT TX EQV J0883 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0898", "description": "INJ ARGATROBAN NOT TX EQV J0883 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2517.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0808", "description": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4713.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin; follicle stimulating hormone (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83001", "description": "Gonadotropin; follicle stimulating hormone (FSH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUMMIT FX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4399", "description": "SUMMIT FX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR HYPSPAD COMP SIMPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54340", "description": "RPR HYPSPAD COMP SIMPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 910.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFRO DBTC CKD ELISA APOA4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0579U", "description": "NFRO DBTC CKD ELISA APOA4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) or trephine; with biopsy of brain or intracranial lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61140", "description": "Burr hole(s) or trephine; with biopsy of brain or intracranial lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2391.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, shoulder cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4003", "description": "Cast supplies, shoulder cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cortisol; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82530", "description": "Cortisol; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT PERM OCCLS/EMBOL NONCNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61626", "description": "TCAT PERM OCCLS/EMBOL NONCNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1387.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61517", "description": "Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0671", "description": "Segmental gradient pressure pneumatic appliance, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy; superficial palmar arch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64823", "description": "Sympathectomy; superficial palmar arch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1329.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, wheeled, rigid or folding, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0149", "description": "Walker, heavy-duty, wheeled, rigid or folding, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55801", "description": "Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1715.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lower extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73701", "description": "Computed tomography, lower extremity; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26675", "description": "Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 752.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPM TX MGMT 1ST 10 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99470", "description": "RPM TX MGMT 1ST 10 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99466", "description": "CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO WOUND PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4181", "description": "AMNIO WOUND PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74712", "description": "Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 435.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion, nasal septal prosthesis (button)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30220", "description": "Insertion, nasal septal prosthesis (button)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0900", "description": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24073", "description": "Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1178.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADENOVIRUS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87809", "description": "ADENOVIRUS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2387", "description": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholinesterase; serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82480", "description": "Cholinesterase; serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26125", "description": "FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB ADVRS GNOTYPE 16GENS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0533U", "description": "RX METAB ADVRS GNOTYPE 16GENS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of embedded foreign body, eyelid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67938", "description": "Removal of embedded foreign body, eyelid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS AID RPR OD LES/TIB FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29892", "description": "ARTHRS AID RPR OD LES/TIB FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1045.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 173.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75885", "description": "Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ARGATROBAN NOT TX EQV J0884 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0892", "description": "INJ ARGATROBAN NOT TX EQV J0884 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, abdominal, real time with image documentation; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76700", "description": "Ultrasound, abdominal, real time with image documentation; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NERVE STIMULATOR FOR TX N&V", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0765", "description": "NERVE STIMULATOR FOR TX N&V", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lightweight portable motorized/power wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0012", "description": "Lightweight portable motorized/power wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 673.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG ALYS CHRML ABNR SNPCGH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81229", "description": "CYTOG ALYS CHRML ABNR SNPCGH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1740.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SF3B1 GENE COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81347", "description": "SF3B1 GENE COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tacrolimus, extended release, oral, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7503", "description": "Tacrolimus, extended release, oral, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 18497.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter, disposable, used with aerosol compressor or ultrasonic generator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7013", "description": "Filter, disposable, used with aerosol compressor or ultrasonic generator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "W/C MANUAL SWINGAWAY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1028", "description": "W/C MANUAL SWINGAWAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncoprotein; HER-2/neu", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83950", "description": "Oncoprotein; HER-2/neu", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93462", "description": "Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 321.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49082", "description": "Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Determination of refractive state", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92015", "description": "Determination of refractive state", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36561", "description": "Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 531.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24120", "description": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 908.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43312", "description": "Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2699.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, thigh length, 18-30 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6533", "description": "Gradient compression stocking, thigh length, 18-30 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, other than pneumonectomy; single segment (segmentectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32484", "description": "Removal of lung, other than pneumonectomy; single segment (segmentectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2466.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMABIND SL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4284", "description": "DERMABIND SL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antihuman globulin test (Coombs test); direct, each antiserum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86880", "description": "Antihuman globulin test (Coombs test); direct, each antiserum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of one extremity; 1-4 muscle(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64642", "description": "Chemodenervation of one extremity; 1-4 muscle(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50384", "description": "Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLL-E-DERM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4193", "description": "COLL-E-DERM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD CHD DNA ALYS 5 SNP 3 DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0439U", "description": "CRD CHD DNA ALYS 5 SNP 3 DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1281.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gloves, nonsterile, per 100", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4927", "description": "Gloves, nonsterile, per 100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75901", "description": "Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate venous access, radiologic supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Marsupialization of urethral diverticulum, male or female", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53240", "description": "Marsupialization of urethral diverticulum, male or female", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 685.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pregnancy-associated plasma protein-A (PAPP-A)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84163", "description": "Pregnancy-associated plasma protein-A (PAPP-A)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0186", "description": "Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 933.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11421", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84244", "description": "Renin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4898.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOBIND/DERMABIND TL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4225", "description": "AMNIOBIND/DERMABIND TL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagomyotomy (Heller type); thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43331", "description": "Esophagomyotomy (Heller type); thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2335.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38210", "description": "Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT AORTO-AORTIC NDGFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34701", "description": "EVASC RPR DPLMNT AORTO-AORTIC NDGFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2038.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38770", "description": "Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1309.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, elbow, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73085", "description": "Radiologic examination, elbow, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Natural killer (NK) cells, total count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86357", "description": "Natural killer (NK) cells, total count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7370.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AXOLOTL GRAFT ULT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4383", "description": "AXOLOTL GRAFT ULT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95937", "description": "Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33724", "description": "Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar Syndrome)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2629.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, foot; midtarsal (eg, Chopart type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28800", "description": "Amputation, foot; midtarsal (eg, Chopart type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 856.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Apolipoprotein, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82172", "description": "Apolipoprotein, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA CNS PTHGN NEXT GEN SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0323U", "description": "IADNA CNS PTHGN NEXT GEN SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3189.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, elbow; with distal humeral prosthetic replacement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24361", "description": "Arthroplasty, elbow; with distal humeral prosthetic replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1672.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81528", "description": "ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 763.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Appendectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44950", "description": "Appendectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1102.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21811", "description": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 992.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95967", "description": "MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1756.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1806", "description": "Static progressive stretch wrist device, flexion and/or extension, with or without range of motion adjustment, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88332", "description": "Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33315", "description": "Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3246.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15271", "description": "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12041", "description": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENOME ULTRA-RAPID SEQ ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0426U", "description": "GENOME ULTRA-RAPID SEQ ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11373.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35201", "description": "Repair blood vessel, direct; neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1539.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Troponin, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84512", "description": "Troponin, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frozen blood, each unit; freezing (includes preparation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86930", "description": "Frozen blood, each unit; freezing (includes preparation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of penile plaque (Peyronie disease);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54110", "description": "Excision of penile plaque (Peyronie disease);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 992.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34714", "description": "OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 448.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 93.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33608", "description": "RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3099.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5114", "description": "INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93298", "description": "Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 57.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dopamine HCl, 40 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1265", "description": "Injection, dopamine HCl, 40 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81220", "description": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; methemoglobin, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83045", "description": "Hemoglobin; methemoglobin, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion, conjunctiva", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68135", "description": "Destruction of lesion, conjunctiva", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION GLYCOPYRROLATE 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1596", "description": "INJECTION GLYCOPYRROLATE 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcium; ionized", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82330", "description": "Calcium; ionized", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGSAP SL OR NEO DNA523&RNA55", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0379U", "description": "TGSAP SL OR NEO DNA523&RNA55", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4932.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside drainage bottle with or without tubing, rigid or expandable, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5102", "description": "Bedside drainage bottle with or without tubing, rigid or expandable, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65265", "description": "Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1629.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81427", "description": "GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3506.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostoma revision; complex, with flap rotation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31614", "description": "Tracheostoma revision; complex, with flap rotation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1134.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46740", "description": "Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3784.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngectomy; subtotal supraglottic, with radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31368", "description": "Laryngectomy; subtotal supraglottic, with radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3732.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43237", "description": "Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC URTHL CARC DNA QMSP 2GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0465U", "description": "ONC URTHL CARC DNA QMSP 2GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2907.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 875.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87533", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27641", "description": "Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1079.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81107", "description": "HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL HOSPITAL CARE/DAY 50 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99222", "description": "INITIAL HOSPITAL CARE/DAY 50 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nickel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83885", "description": "Nickel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51727", "description": "Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 402.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76514", "description": "Ophthalmic ultrasound, diagnostic; corneal pachymetry, unilateral or bilateral (determination of corneal thickness)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44625", "description": "Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1675.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27524", "description": "Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1264.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the vulva; with biopsy(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56821", "description": "Colposcopy of the vulva; with biopsy(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED PRST8 CA RLTD DO 11", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0133U", "description": "HERED PRST8 CA RLTD DO 11", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1035.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20225", "description": "Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, tricuspid valve; with ring insertion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33464", "description": "Valvuloplasty, tricuspid valve; with ring insertion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4129.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81470", "description": "X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular lens, per lens, bifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2221", "description": "Lenticular lens, per lens, bifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54065", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURF RAD THR IMG GDN US PLMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77439", "description": "SURF RAD THR IMG GDN US PLMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78451", "description": "MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93321", "description": "DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31632", "description": "BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96401", "description": "Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sensorineural acuity level test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92575", "description": "Sensorineural acuity level test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 975.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of slipped femoral epiphysis; by traction, without reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27175", "description": "Treatment of slipped femoral epiphysis; by traction, without reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1115.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12054", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 347.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2342", "description": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 957.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76705", "description": "Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty and/or transposition; ulnar nerve at elbow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64718", "description": "Neuroplasty and/or transposition; ulnar nerve at elbow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1029.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88174", "description": "CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL PHRNC NRV STIM PG ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33280", "description": "RMVL PHRNC NRV STIM PG ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 347.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostoma valve, including diaphragm, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7501", "description": "Tracheostoma valve, including diaphragm, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lumbar spine; with contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72132", "description": "Computed tomography, lumbar spine; with contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition administration kit, per day", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4224", "description": "Parenteral nutrition administration kit, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ATEZOLIZUMB 5MG HYA-TQJS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9024", "description": "INJ ATEZOLIZUMB 5MG HYA-TQJS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL NURSING FACILITY CARE/DAY 35 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99305", "description": "INITIAL NURSING FACILITY CARE/DAY 35 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0110T", "description": "Quantitative sensory testing (QST), testing and interpretation per extremity; using other stimuli to assess sensation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision external ear; partial, simple repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69110", "description": "Excision external ear; partial, simple repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 531.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4935.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior segment imaging with interpretation and report; with fluorescein angiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92287", "description": "Anterior segment imaging with interpretation and report; with fluorescein angiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25024", "description": "Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1303.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; reticulocyte, manual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85044", "description": "Blood count; reticulocyte, manual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of sclerosing solution, hemorrhoids", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46500", "description": "Injection of sclerosing solution, hemorrhoids", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 345.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; blood, reagent strip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82948", "description": "Glucose; blood, reagent strip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEMBRANE WRP LT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4373", "description": "MEMBRANE WRP LT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of ulnar shaft fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25530", "description": "Closed treatment of ulnar shaft fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 454.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABETA42 & TTAU ECLIA CSF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0459U", "description": "ABETA42 & TTAU ECLIA CSF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, edetate calcium disodium, up to 1,000 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0600", "description": "Injection, edetate calcium disodium, up to 1,000 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8636.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0070", "description": "Rear wheel assembly, complete, with pneumatic tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11470", "description": "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 504.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27502", "description": "Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1357.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2171.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of hip dislocation, traumatic, without internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27253", "description": "Open treatment of hip dislocation, traumatic, without internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1563.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93986", "description": "DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lung transplant, single; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32851", "description": "Lung transplant, single; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5561.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23474", "description": "Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2782.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90657", "description": "Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78015", "description": "Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Opponensplasty; hypothenar muscle transfer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26494", "description": "Opponensplasty; hypothenar muscle transfer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1476.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 321.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal smear for eosinophils", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89190", "description": "Nasal smear for eosinophils", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KERECIS OMEGA3 PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4158", "description": "KERECIS OMEGA3 PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado- Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81180", "description": "ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado- Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32503", "description": "RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3087.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACETEC & FORAMOT THRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63046", "description": "LAM FACETEC & FORAMOT THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2199.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4393", "description": "SURGRAFT AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRD NXT-GNRJ ALYS SBSQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0307U", "description": "ONC MRD NXT-GNRJ ALYS SBSQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLSD TX NSL FX W/MNPJ&STABLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21320", "description": "CLSD TX NSL FX W/MNPJ&STABLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2313", "description": "Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92544", "description": "Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81221", "description": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Release of thenar muscle(s) (eg, thumb contracture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26508", "description": "Release of thenar muscle(s) (eg, thumb contracture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7201", "description": "Injection, factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC RSPS RADJ CLL FR DNA TOX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0285U", "description": "ONC RSPS RADJ CLL FR DNA TOX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 664.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLOSKIN RT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4123", "description": "ALLOSKIN RT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2205", "description": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, complete excision; fifth metatarsal head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28113", "description": "Ostectomy, complete excision; fifth metatarsal head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 707.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25525", "description": "OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special back height for wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1228", "description": "Special back height for wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58954", "description": "BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3593.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY NEW LOW 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98009", "description": "SYNCH AUDIO-ONLY NEW LOW 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; with brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88005", "description": "Necropsy (autopsy), gross examination only; with brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 585.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prism, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2715", "description": "Prism, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4311", "description": "Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of contrast medium for dacryocystography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68850", "description": "Injection of contrast medium for dacryocystography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27630", "description": "Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 612.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of femoral vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37650", "description": "Ligation of femoral vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 774.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2622.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 445.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51596", "description": "Cystectomy, complete, with continent diversion, any open technique, using any segment of small and/or large intestine to construct neobladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3644.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97113", "description": "Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58600", "description": "Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 590.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Underarm pad, crutch, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4635", "description": "Underarm pad, crutch, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81000", "description": "URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6450", "description": "Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, bone marrow blood supply", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77084", "description": "Magnetic resonance (eg, proton) imaging, bone marrow blood supply", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25071", "description": "Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 728.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, zoledronic acid, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3489", "description": "Injection, zoledronic acid, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19296", "description": "PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 353.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, velaglucerase alfa, 100 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3385", "description": "Injection, velaglucerase alfa, 100 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pathology consultation during surgery;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88329", "description": "Pathology consultation during surgery;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of peritoneal-venous shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49428", "description": "Ligation of peritoneal-venous shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 751.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SINGLAY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4329", "description": "SINGLAY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; cholecystoenterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47570", "description": "Laparoscopy, surgical; cholecystoenterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62282", "description": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32666", "description": "Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), initial unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1527.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5108", "description": "Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50386", "description": "Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, apomorphine HCl, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0364", "description": "Injection, apomorphine HCl, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26551", "description": "Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5348.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG FOR INFCTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29871", "description": "ARTHRS KNEE SURG FOR INFCTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 880.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0779", "description": "Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29907", "description": "Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1472.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT DCMPRN NRV RT 1 CERV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63020", "description": "LAMOT DCMPRN NRV RT 1 CERV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1966.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interdental wiring, for condition other than fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21497", "description": "Interdental wiring, for condition other than fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 990.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Potassium; urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84133", "description": "Potassium; urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1314.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0161", "description": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81292", "description": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1013.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PELVIC EXENTERATION COMPLETE MALIGNANCY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51597", "description": "PELVIC EXENTERATION COMPLETE MALIGNANCY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3568.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, iliac, acetabular or innominate bone;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27146", "description": "Osteotomy, iliac, acetabular or innominate bone;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2100.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87150", "description": "Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CATH SLCT PULM VN ANGRPH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93574", "description": "NJX CATH SLCT PULM VN ANGRPH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 12255.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49465", "description": "CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89051", "description": "Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28322", "description": "Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 955.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42892", "description": "Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2892.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44800", "description": "Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1343.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastroesophageal reflux study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78262", "description": "Gastroesophageal reflux study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; 6 or more coronary venous grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33516", "description": "Coronary artery bypass, vein only; 6 or more coronary venous grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4616.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44955", "description": "Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR GARMENT TOE CAPS CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6573", "description": "GRAD COMPR GARMENT TOE CAPS CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 374.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Very long chain fatty acids", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82726", "description": "Very long chain fatty acids", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6449", "description": "Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 in and less than 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, regadenoson, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2785", "description": "Injection, regadenoson, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT ILIO-ILIAC NDGFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34707", "description": "EVASC RPR DPLMNT ILIO-ILIAC NDGFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1919.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67440", "description": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2045.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CRVX MRNA GENXPRSN 14BMK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0463U", "description": "ONC CRVX MRNA GENXPRSN 14BMK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81200", "description": "ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HTLV-I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86687", "description": "Antibody; HTLV-I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3077F", "description": "Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMABIND FM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4313", "description": "DERMABIND FM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, necitumumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9295", "description": "Injection, necitumumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53605", "description": "Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction (spinal) anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial treatment, first degree burn, when no more than local treatment is required", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16000", "description": "Initial treatment, first degree burn, when no more than local treatment is required", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Atrial septectomy or septostomy; open heart with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33736", "description": "Atrial septectomy or septostomy; open heart with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2447.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11626", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTACENT VELOS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4338", "description": "ARTACENT VELOS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cephalogram, orthodontic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70350", "description": "Cephalogram, orthodontic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cefazolin sodium, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0690", "description": "Injection, cefazolin sodium, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 20.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0005U", "description": "Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, intralesional; more than 7 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11901", "description": "Injection, intralesional; more than 7 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44404", "description": "Colonoscopy through stoma; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87910", "description": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Photo tests", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95056", "description": "Photo tests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2321", "description": "Power wheelchair accessory, hand control interface, remote joystick, nonproportional, including all related electronics, mechanical stop switch, and fixed mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, less than 4 static views;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78600", "description": "Brain imaging, less than 4 static views;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Nocardia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86744", "description": "Antibody; Nocardia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90473", "description": "Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of colostomy; simple (release of superficial scar) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44340", "description": "Revision of colostomy; simple (release of superficial scar) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1093.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11006", "description": "DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1127.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (uveal melanoma), mRNA, geneexpression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping genes), utilizing fine needle aspirate or formalin-fix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0080U", "description": "Oncology (uveal melanoma), mRNA, geneexpression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping genes), utilizing fine needle aspirate or formalin-fix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5280.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "C DIFF TOX AG DETCJ IA STOOL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0107U", "description": "C DIFF TOX AG DETCJ IA STOOL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9490", "description": "CMS IC MDL HV PT ASMT CLIN;NOT BILL 30-DAY PER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90964", "description": "ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO GSAP CL FR CPY NMBR&MCRST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81463", "description": "SO GSAP CL FR CPY NMBR&MCRST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2017.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REV/RPLCT HPGLSL NSTM ARY PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64583", "description": "REV/RPLCT HPGLSL NSTM ARY PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1309.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADDING WALKER TO PREV CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29440", "description": "ADDING WALKER TO PREV CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88309", "description": "LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 499.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ METHYLPRED SOD SUCC 5MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2919", "description": "INJ METHYLPRED SOD SUCC 5MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, orbital, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75880", "description": "Venography, orbital, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45335", "description": "Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31646", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent, same hospital stay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90461", "description": "IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31629", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0565T", "description": "AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 413.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, liquid (spray, brush, etc.), per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4369", "description": "Ostomy skin barrier, liquid (spray, brush, etc.), per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27532", "description": "Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 996.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroplasty with unilateral or bilateral ureteroneocystostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51820", "description": "Cystourethroplasty with unilateral or bilateral ureteroneocystostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1701.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 337.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, humerus; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24116", "description": "Excision or curettage of bone cyst or benign tumor, humerus; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1433.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 183.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, spinal, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75705", "description": "Angiography, spinal, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Perineogram (eg, vaginogram, for sex determination or extent of anomalies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74775", "description": "Perineogram (eg, vaginogram, for sex determination or extent of anomalies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99157", "description": "MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83518", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2011", "description": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2631", "description": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 511.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42510", "description": "Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 947.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIMATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4110", "description": "PRIMATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 399.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epididymectomy; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54860", "description": "Epididymectomy; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External drainage, pseudocyst of pancreas, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48510", "description": "External drainage, pseudocyst of pancreas, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1906.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95930", "description": "Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair oval window fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69666", "description": "Repair oval window fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1272.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFLUENZA A/B EACH AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87400", "description": "INFLUENZA A/B EACH AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vesiculectomy, any approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55650", "description": "Vesiculectomy, any approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51575", "description": "Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2804.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33506", "description": "Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3469.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; aspiration technique, 1 or more stages", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66840", "description": "Removal of lens material; aspiration technique, 1 or more stages", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1020.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of penetrating wound (separate procedure); chest", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20101", "description": "Exploration of penetrating wound (separate procedure); chest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2360", "description": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, lanreotide, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1930", "description": "Injection, lanreotide, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NON PNEU PERISTALIC COMP PMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0683", "description": "NON PNEU PERISTALIC COMP PMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61600", "description": "Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3449.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Congo red, blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P2029", "description": "Congo red, blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11404", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tricuspid valve repositioning and plication for Ebstein anomaly", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33468", "description": "Tricuspid valve repositioning and plication for Ebstein anomaly", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4148.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dialysis training, patient, including helper where applicable, any mode, completed course", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90989", "description": "Dialysis training, patient, including helper where applicable, any mode, completed course", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, abdomen; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74160", "description": "Computed tomography, abdomen; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21240", "description": "Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1655.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81355", "description": "VKORC1 (vitamin K epoxide reductase complex, subunit 1) (eg, warfarin metabolism), gene analysis, common variant(s) (eg, -1639G>A, c.173+1000C>T)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUMRL CNDYLR FX WO MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24576", "description": "CLTX HUMRL CNDYLR FX WO MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 605.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM CGEN NEUTROPENIA 23 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0271U", "description": "HEM CGEN NEUTROPENIA 23 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65815", "description": "Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or air injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 712.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2607", "description": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cetuximab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9055", "description": "Injection, cetuximab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90375", "description": "Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 389.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, radius OR ulna; lengthening with autograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25391", "description": "Osteoplasty, radius OR ulna; lengthening with autograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1651.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16025", "description": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 376.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with direct vision internal urethrotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52276", "description": "Cystourethroscopy with direct vision internal urethrotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of back or flank; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21920", "description": "Biopsy, soft tissue of back or flank; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNST MDFC LFRTIII ADVM W/I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21160", "description": "RCNST MDFC LFRTIII ADVM W/I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4204.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "E COLI 0157 AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87335", "description": "E COLI 0157 AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRURL RESECTION BLADDER NECK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52500", "description": "TRURL RESECTION BLADDER NECK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 617.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolithotomy; middle one-third of ureter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50620", "description": "Ureterolithotomy; middle one-third of ureter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1415.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "B cells, total count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86355", "description": "B cells, total count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; intrathoracic, without bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35216", "description": "Repair blood vessel, direct; intrathoracic, without bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3466.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC GEN ALYS PANEL 15 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0175U", "description": "PSYC GEN ALYS PANEL 15 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Metatarsectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28140", "description": "Metatarsectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0660", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone and/or joint imaging; limited area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78300", "description": "Bone and/or joint imaging; limited area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION SPESOLIMAB-SBZO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1747", "description": "INJECTION SPESOLIMAB-SBZO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor VIII (antihemophilic factor, human) per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7190", "description": "Factor VIII (antihemophilic factor, human) per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4222", "description": "Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONINVASIVE VAGUS NERVE STIMULATOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0735", "description": "NONINVASIVE VAGUS NERVE STIMULATOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32853", "description": "Lung transplant, double (bilateral sequential or en bloc); without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7733.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of neck or thorax", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21550", "description": "Biopsy, soft tissue of neck or thorax", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63043", "description": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0047U", "description": "ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CLEVIDEPINE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0759", "description": "INJ CLEVIDEPINE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0426", "description": "Ambulance service, advanced life support, nonemergency transport, level 1 (ALS 1)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 591.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST TOE EXTENSION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1828", "description": "ADJUST TOE EXTENSION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; urethral suspension for stress incontinence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51990", "description": "Laparoscopy, surgical; urethral suspension for stress incontinence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1172.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, plazomicin, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0291", "description": "Injection, plazomicin, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33243", "description": "Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2367.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ HOSPITAL CARE/DAY 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99231", "description": "SBSQ HOSPITAL CARE/DAY 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, emergency procedure; cricothyroid membrane", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31605", "description": "Tracheostomy, emergency procedure; cricothyroid membrane", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5849.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRLNG NF EM BYD TT SRVC; EA 15 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0317", "description": "PRLNG NF EM BYD TT SRVC; EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, wrist; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73100", "description": "Radiologic examination, wrist; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2620", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal allotransplantation, implantation of graft; without recipient nephrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50360", "description": "Renal allotransplantation, implantation of graft; without recipient nephrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4182.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; actinomyces", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86602", "description": "Antibody; actinomyces", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87075", "description": "Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy tube collar/holder, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7526", "description": "Tracheostomy tube collar/holder, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27258", "description": "Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1830.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPL MED QUAN DD-CFDNA NGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0493U", "description": "TRNSPL MED QUAN DD-CFDNA NGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4129.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93978", "description": "Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TEBENTAFUSP-TEBN 1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9274", "description": "INJECTION TEBENTAFUSP-TEBN 1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 44.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2351", "description": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1287.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54326", "description": "1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1479.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 72233.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1227.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; forearm, 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73090", "description": "Radiologic examination; forearm, 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for discography, each level; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62290", "description": "Injection procedure for discography, each level; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 244.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21048", "description": "Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1586.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 105.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45391", "description": "Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 391.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortoiliac", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35537", "description": "Bypass graft, with vein; aortoiliac", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3468.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 CA IMG ALYS 128", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0376U", "description": "ONC PRST8 CA IMG ALYS 128", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPINEPHRINE INTL MED NOT EQ J0165", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0168", "description": "EPINEPHRINE INTL MED NOT EQ J0165", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43113", "description": "TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7360.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EPINEPHRINE FRESENIUS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0162", "description": "INJ EPINEPHRINE FRESENIUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, hydrophilic, spherical, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2520", "description": "Contact lens, hydrophilic, spherical, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2622", "description": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0671", "description": "Segmental gradient pressure pneumatic appliance, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 887.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27240", "description": "Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1615.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, bursa, foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28001", "description": "Incision and drainage, bursa, foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; abdominal and transanal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44147", "description": "Colectomy, partial; abdominal and transanal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3177.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88167", "description": "CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alginate or other fiber gelling dressing, wound filler, sterile, per 6 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6199", "description": "Alginate or other fiber gelling dressing, wound filler, sterile, per 6 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76936", "description": "Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroconvulsive therapy (includes necessary monitoring)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90870", "description": "Electroconvulsive therapy (includes necessary monitoring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15958", "description": "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1938.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration of influenza virus vaccine", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0008", "description": "Administration of influenza virus vaccine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 392.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0147", "description": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin alfa, 100 units (for ESRD on dialysis)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4081", "description": "Injection, epoetin alfa, 100 units (for ESRD on dialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0308T", "description": "Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1938.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90585", "description": "Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2340", "description": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 574.61, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81425", "description": "Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7546.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53447", "description": "Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same operative session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1275.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMBND CHN CHX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4429", "description": "DERMBND CHN CHX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7017", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ibutilide fumarate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1742", "description": "Injection, ibutilide fumarate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33440", "description": "RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5760.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TBS I&R FX RSK QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77092", "description": "TBS I&R FX RSK QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN/UVEAL MLNMA CD146", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0490U", "description": "ONC CUTAN/UVEAL MLNMA CD146", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3652.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of Thomas shunt (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36835", "description": "Insertion of Thomas shunt (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 865.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autologous chondrocyte implantation, knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27412", "description": "Autologous chondrocyte implantation, knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2686.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic manipulative treatment (OMT); 5-6 body regions involved", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98927", "description": "Osteopathic manipulative treatment (OMT); 5-6 body regions involved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42410", "description": "Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 983.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30905", "description": "Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Procainamide;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80190", "description": "Procainamide;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Histrelin implant (Supprelin LA), 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9226", "description": "Histrelin implant (Supprelin LA), 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58264.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antitipping device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0971", "description": "Manual wheelchair accessory, antitipping device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEN-ARTL SHUNT DET MBUBB NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93898", "description": "VEN-ARTL SHUNT DET MBUBB NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96902", "description": "MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for interstitial radioelement application", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76965", "description": "Ultrasonic guidance for interstitial radioelement application", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, meloxicam, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1738", "description": "Injection, meloxicam, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2215", "description": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM AHUS GEN SEQ ALYS 15 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0268U", "description": "HEM AHUS GEN SEQ ALYS 15 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VASOPRESSIN AM REG 1 U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2599", "description": "INJ VASOPRESSIN AM REG 1 U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66185", "description": "Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1271.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HAST W/SUPPL OXYGEN TITRJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94453", "description": "HAST W/SUPPL OXYGEN TITRJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2206", "description": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR ION CHNLPTHY GEN SEQ PNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0237U", "description": "CAR ION CHNLPTHY GEN SEQ PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOST RECENT HG A1C>EQUAL TO 8.0%&EQUAL TO 8.0%& GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81455", "description": "GEN SEQ ANALYS SOL ORG/HEMTOLMPHOID NEO 51/> GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36224", "description": "SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 619.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42810", "description": "Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 454.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, glenohumeral joint;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23800", "description": "Arthrodesis, glenohumeral joint;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1700.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0808", "description": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6284.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87624", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair medial collateral ligament, elbow, with local tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24345", "description": "Repair medial collateral ligament, elbow, with local tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1208.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 38.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44021", "description": "Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1653.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, femur, shaft or supracondylar; with fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27450", "description": "Osteotomy, femur, shaft or supracondylar; with fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1664.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6022", "description": "Collagen dressing, sterile, size more than 16 sq in but less than or equal to 48 sq in, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ IC LBW INF 1,500-2,500", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99479", "description": "SBSQ IC LBW INF 1,500-2,500", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression facial nerve, intratemporal; lateral to geniculate ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69720", "description": "Decompression facial nerve, intratemporal; lateral to geniculate ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1876.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2628", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1408.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wedging of clubfoot cast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29750", "description": "Wedging of clubfoot cast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST CA DNA PIK3CA 11", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0177U", "description": "ONC BRST CA DNA PIK3CA 11", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delivery of placenta (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59414", "description": "Delivery of placenta (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunodiffusion; not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86329", "description": "Immunodiffusion; not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOX 100 OR CLARIX 100-SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4156", "description": "NEOX 100 OR CLARIX 100-SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Syphilis test, non-treponemal antibody; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86593", "description": "Syphilis test, non-treponemal antibody; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chondroitin B sulfate, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82485", "description": "Chondroitin B sulfate, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, vascular flow only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78610", "description": "Brain imaging, vascular flow only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43216", "description": "Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAV INF MON ANTI FIR DO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0235", "description": "INTRAV INF MON ANTI FIR DO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphangiography, extremity only, bilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75803", "description": "Lymphangiography, extremity only, bilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of patent ductus arteriosus; by ligation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33820", "description": "Repair of patent ductus arteriosus; by ligation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1685.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INIT MED TX OPIOID USE D/O ED SET", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2213", "description": "INIT MED TX OPIOID USE D/O ED SET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRD GSA CFDNA SUBSEQUENT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0561U", "description": "ONC MRD GSA CFDNA SUBSEQUENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, surgical; synovectomy, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29836", "description": "Arthroscopy, elbow, surgical; synovectomy, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 978.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; LDL cholesterol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83721", "description": "Lipoprotein, direct measurement; LDL cholesterol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0957", "description": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS ID OPT GENOME MAPG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0264U", "description": "RARE DS ID OPT GENOME MAPG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salivary gland imaging; with serial images", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78231", "description": "Salivary gland imaging; with serial images", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0610", "description": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 381.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36465", "description": "NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Armrest, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0994", "description": "Armrest, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 626.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, amphotericin B, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0285", "description": "Injection, amphotericin B, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, teeth; partial examination, less than full mouth", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70310", "description": "Radiologic examination, teeth; partial examination, less than full mouth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of lip, more than one-fourth, without reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40530", "description": "Resection of lip, more than one-fourth, without reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 649.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2224", "description": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45116", "description": "Proctectomy, partial, with anastomosis; transsacral approach only (Kraske type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2470.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOPATCH OR THERION 1 SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4176", "description": "NEOPATCH OR THERION 1 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50430", "description": "NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPM TX MGMT 1ST 20 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99457", "description": "RPM TX MGMT 1ST 20 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49436", "description": "Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, forearm, through radius and ulna;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25900", "description": "Amputation, forearm, through radius and ulna;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1199.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78351", "description": "Bone density (bone mineral content) study, 1 or more sites; dual photon absorptiometry, 1 or more sites", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 306.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 35190.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83516", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28122", "description": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67210", "description": "Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 741.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COM HEALTH INTEGR SRV 60MIN PER MTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0019", "description": "COM HEALTH INTEGR SRV 60MIN PER MTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, facial bones; less than 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70140", "description": "Radiologic examination, facial bones; less than 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABSOLV3 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4401", "description": "ABSOLV3 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, knee, condyle and plateau; medial OR lateral compartment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27446", "description": "Arthroplasty, knee, condyle and plateau; medial OR lateral compartment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1881.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58356", "description": "Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 542.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitation of therapeutic drug, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80299", "description": "Quantitation of therapeutic drug, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99403", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of tongue to lip for micrognathia (Douglas type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41510", "description": "Suture of tongue to lip for micrognathia (Douglas type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 763.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36565", "description": "INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 563.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0580", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of shoulder area; deep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23066", "description": "Biopsy, soft tissue of shoulder area; deep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous portal vein catheterization by any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36481", "description": "Percutaneous portal vein catheterization by any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 485.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 201.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibular nerve section, transcranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69950", "description": "Vestibular nerve section, transcranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2657.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43262", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 538.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration; intralesional, up to and including 7 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96405", "description": "Chemotherapy administration; intralesional, up to and including 7 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC SUICIDAL IDEA MRNA 54", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0293U", "description": "PSYC SUICIDAL IDEA MRNA 54", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; influenza B virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87275", "description": "Infectious agent antigen detection by immunofluorescent technique; influenza B virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ST ATH CPX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37278", "description": "RVSC EVSC FPVT ST ATH CPX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 490.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12052", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 301.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO MUSC DYS DMD SEQ ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0218U", "description": "NEURO MUSC DYS DMD SEQ ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3418.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21933", "description": "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1269.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69646", "description": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, with ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2531.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PATIENT-INITIATED SPIROMETRIC RECORDING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94015", "description": "PATIENT-INITIATED SPIROMETRIC RECORDING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96164", "description": "HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN RCR > 10 RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49617", "description": "RPR AA HRN RCR > 10 RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1477.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 134.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19370", "description": "Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1098.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "O2 UPTK REST INDIRECT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94690", "description": "O2 UPTK REST INDIRECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97163", "description": "PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tonsil tags", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42860", "description": "Excision of tonsil tags", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 317.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99152", "description": "MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>7D<15D SCAN A/R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93247", "description": "EXT ECG>7D<15D SCAN A/R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 451.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, temporomandibular joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21010", "description": "Arthrotomy, temporomandibular joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20822", "description": "Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2880.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43761", "description": "Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reproductive medicine (endometrial receptivity analysis), RNA gene expression profile, 238 genes by next-generation sequencing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0253U", "description": "Reproductive medicine (endometrial receptivity analysis), RNA gene expression profile, 238 genes by next-generation sequencing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4739.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87279", "description": "Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus, each type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, division, and/or excision of varicose vein cluster(s), 1 leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37785", "description": "Ligation, division, and/or excision of varicose vein cluster(s), 1 leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 425.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thallium Tl-201 thallous chloride, diagnostic, per millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9505", "description": "Thallium Tl-201 thallous chloride, diagnostic, per millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64885", "description": "Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1632.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21355", "description": "Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 518.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52352", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 543.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy, thoracolumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64809", "description": "Sympathectomy, thoracolumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2063.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2228", "description": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1118.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth and/or width, by construction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1298", "description": "Special wheelchair seat depth and/or width, by construction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 594.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatectomy, resection of liver; total right lobectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47130", "description": "Hepatectomy, resection of liver; total right lobectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5517.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64595", "description": "Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81520", "description": "ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3765.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OVERLAY SL MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4352", "description": "OVERLAY SL MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone and/or joint imaging; 3 phase study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78315", "description": "Bone and/or joint imaging; 3 phase study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 460.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMT 200MG AND TFV AF 25MG ORAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0751", "description": "EMT 200MG AND TFV AF 25MG ORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 308.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67314", "description": "Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FECAL MICROBIOTA LIVE - JSLM 1 ML", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1440", "description": "FECAL MICROBIOTA LIVE - JSLM 1 ML", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5405.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, heated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0562", "description": "Humidifier, heated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine kinase (CK), (CPK); isoforms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82554", "description": "Creatine kinase (CK), (CPK); isoforms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "3-dimensional radiotherapy plan, including dose-volume histograms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77295", "description": "3-dimensional radiotherapy plan, including dose-volume histograms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 467.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Puncture aspiration of abscess, hematoma, bulla, or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10160", "description": "Puncture aspiration of abscess, hematoma, bulla, or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNST MDFC LFRTIII ADVM WO I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21159", "description": "RCNST MDFC LFRTIII ADVM WO I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3884.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54130", "description": "Amputation of penis, radical; with bilateral inguinofemoral lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1864.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64893", "description": "Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1826.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; 4 extremities with or without related paraspinal areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95864", "description": "Needle electromyography; 4 extremities with or without related paraspinal areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33641", "description": "Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2799.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX PARTCLR FX /DISLC ELBOW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24586", "description": "OPTX PARTCLR FX /DISLC ELBOW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1773.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95146", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41015", "description": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 489.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99448", "description": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CCND1/IGH TRANSLOCATION ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81168", "description": "CCND1/IGH TRANSLOCATION ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22327", "description": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2795.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radial shaft fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25505", "description": "Closed treatment of radial shaft fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 882.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2374", "description": "PWR WC STANDARD REMOTE JOYSTICK REPLACEMENT ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26820", "description": "Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1458.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21011", "description": "Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28308", "description": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20969", "description": "Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4092.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, pediatric size, rigid, adjustable, without seating system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1237", "description": "Wheelchair, pediatric size, rigid, adjustable, without seating system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 353.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovaginal fistula; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57305", "description": "Closure of rectovaginal fistula; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1609.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35881", "description": "Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1707.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of blepharoptosis; (tarso) levator resection or advancement, external approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67904", "description": "Repair of blepharoptosis; (tarso) levator resection or advancement, external approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 879.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG SYNVCT MAJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29876", "description": "ARTHRS KNEE SURG SYNVCT MAJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1101.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 715.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proinsulin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84206", "description": "Proinsulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO NEW HI 60", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98003", "description": "SYNCH AUDIO-VIDEO NEW HI 60", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, surgical; for infection, lavage and drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29843", "description": "Arthroscopy, wrist, surgical; for infection, lavage and drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FULVESTRANT TEVA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9393", "description": "INJ FULVESTRANT TEVA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, irinotecan, 20 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9206", "description": "Injection, irinotecan, 20 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; trapezium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25445", "description": "Arthroplasty with prosthetic replacement; trapezium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1186.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Driver for use with pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0480", "description": "Driver for use with pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162365.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMABIND DL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4287", "description": "DERMABIND DL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, progesterone, per 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2675", "description": "Injection, progesterone, per 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51729", "description": "COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Splenectomy; total (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38100", "description": "Splenectomy; total (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1956.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29866", "description": "Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1758.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHN/INTR SVS FR DX TREAT 30M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0551", "description": "PHN/INTR SVS FR DX TREAT 30M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0003U", "description": "ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1425.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uric acid; other source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84560", "description": "Uric acid; other source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 834.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, bone cortex (eg, osteomyelitis or bone abscess), foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28005", "description": "Incision, bone cortex (eg, osteomyelitis or bone abscess), foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 928.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Opponensplasty; superficialis tendon transfer type, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26490", "description": "Opponensplasty; superficialis tendon transfer type, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1471.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78469", "description": "Myocardial imaging, infarct avid, planar; tomographic SPECT with or without quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epiglottidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31420", "description": "Epiglottidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1307.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81518", "description": "ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, emapalumab-lzsg, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9210", "description": "Injection, emapalumab-lzsg, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 543.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88166", "description": "Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33521", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1082.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72127", "description": "Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD DISK METHOD PER PLATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87184", "description": "SC STD DISK METHOD PER PLATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44205", "description": "Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2206.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fabrication and fitting of ocular conformer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2628", "description": "Fabrication and fitting of ocular conformer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 567.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96168", "description": "HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 60029.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2611", "description": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, wrist joint; with synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25105", "description": "Arthrotomy, wrist joint; with synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 829.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 60 minutes with patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90837", "description": "Psychotherapy, 60 minutes with patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lacrimal gland tumor; involving osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68550", "description": "Excision of lacrimal gland tumor; involving osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1826.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6222", "description": "Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 11285.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nocturnal penile tumescence and/or rigidity test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54250", "description": "Nocturnal penile tumescence and/or rigidity test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0522T", "description": "PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11301", "description": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 1-2 studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95907", "description": "Nerve conduction studies; 1-2 studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adenoidectomy, secondary; younger than age 12", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42835", "description": "Adenoidectomy, secondary; younger than age 12", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26160", "description": "Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, interphalangeal joint; with prosthetic implant, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26536", "description": "Arthroplasty, interphalangeal joint; with prosthetic implant, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1304.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of vulva or perineum (separate procedure); 1 lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56605", "description": "Biopsy of vulva or perineum (separate procedure); 1 lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s), or pad(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0630", "description": "Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s), or pad(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27745", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1210.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81522", "description": "ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4189", "description": "PARNTRAL NUT SOL; AMINO ACID&CARB 10-51 GMS PROT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22513", "description": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 808.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterectomy, resection of small intestine; single resection and anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44120", "description": "Enterectomy, resection of small intestine; single resection and anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2070.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92242", "description": "FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 504.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44384", "description": "Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95707", "description": "EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 831.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63078", "description": "DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 361.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, drive wheel motor, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2368", "description": "Power wheelchair component, drive wheel motor, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81542", "description": "ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROMOD ADJ REHAB MOUTHPIECE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4594", "description": "NEUROMOD ADJ REHAB MOUTHPIECE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4642.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27893", "description": "Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1054.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19369", "description": "Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3130.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lens, polycarbonate or equal, any index, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2784", "description": "Lens, polycarbonate or equal, any index, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76813", "description": "US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92523", "description": "EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 380.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positional nystagmus test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92532", "description": "Positional nystagmus test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, extensor, hand or finger, open, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26460", "description": "Tenotomy, extensor, hand or finger, open, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 799.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, hard, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8001", "description": "Helmet, protective, hard, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of missed abortion, completed surgically; first trimester", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59820", "description": "Treatment of missed abortion, completed surgically; first trimester", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 647.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, garamycin, gentamicin, up to 80 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1580", "description": "Injection, garamycin, gentamicin, up to 80 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous thrombosis imaging, venogram; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78458", "description": "Venous thrombosis imaging, venogram; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81321", "description": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS B SURFACE AG QUAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87467", "description": "HEPATITIS B SURFACE AG QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sling or seat, patient lift, canvas or nylon", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0621", "description": "Sling or seat, patient lift, canvas or nylon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TEZEPELUMAB-EKKO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2356", "description": "INJECTION TEZEPELUMAB-EKKO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12051", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEM HSPRA NOT THR EQ J9305 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9323", "description": "INJ PEM HSPRA NOT THR EQ J9305 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, adapter for amputee, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0959", "description": "Manual wheelchair accessory, adapter for amputee, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNGRPH CHD ANOM/PERSIST SVC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93584", "description": "VNGRPH CHD ANOM/PERSIST SVC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31545", "description": "LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37246", "description": "TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 551.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64488", "description": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MEROPENEM B BRAUN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2184", "description": "INJ MEROPENEM B BRAUN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENEW FT MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4378", "description": "RENEW FT MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99253", "description": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 55 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of anal sphincter (separate procedure) under anesthesia other than local", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45905", "description": "Dilation of anal sphincter (separate procedure) under anesthesia other than local", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 301.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55200", "description": "Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 451.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57456", "description": "Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst ext pt 30 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2007", "description": "Post-D/C H Vst ext pt 30 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, with compressor and heater", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0585", "description": "Nebulizer, with compressor and heater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, pelvis; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72192", "description": "Computed tomography, pelvis; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, naltrexone, depot form, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2315", "description": "Injection, naltrexone, depot form, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion, palate or uvula (thermal, cryo or chemical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42160", "description": "Destruction of lesion, palate or uvula (thermal, cryo or chemical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0483T", "description": "Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach, including transseptal puncture, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2750.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84166", "description": "Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74250", "description": "RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG/3MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0741", "description": "INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG/3MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52290", "description": "Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 375.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION MOSUNETUZUMAB-AXGB 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9350", "description": "INJECTION MOSUNETUZUMAB-AXGB 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0425", "description": "Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFORT III W/O I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21154", "description": "RCNSTJ MDFC LEFORT III W/O I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2943.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90472", "description": "IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20610", "description": "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SRSF2 GENE COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81348", "description": "SRSF2 GENE COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brake attachment for wheeled walker, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0159", "description": "Brake attachment for wheeled walker, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27347", "description": "Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81274", "description": "HTT (huntingtin) (eg, Huntington disease) gene analysis; characterization of alleles (eg, expanded size)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4602", "description": "Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Chlamydia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86631", "description": "Antibody; Chlamydia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34844", "description": "ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3903.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with maxillary antrostomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31256", "description": "Nasal/sinus endoscopy, surgical, with maxillary antrostomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33261", "description": "Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2784.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anterior chamber of eye (separate procedure); air or liquid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66020", "description": "Injection, anterior chamber of eye (separate procedure); air or liquid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV pole", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0776", "description": "IV pole", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, forearm, through radius and ulna; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25909", "description": "Amputation, forearm, through radius and ulna; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1159.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION EFLAPEGRASTIM-XNST 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1449", "description": "INJECTION EFLAPEGRASTIM-XNST 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acylcarnitines; quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82017", "description": "Acylcarnitines; quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97166", "description": "OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6234", "description": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheel attachment, rigid pick-up walker, per pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0155", "description": "Wheel attachment, rigid pick-up walker, per pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 372.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26390", "description": "Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1526.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0065U", "description": "Syphilis test, non-treponemal antibody, immunoassay, qualitative (RPR)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAPSULAR CONTRACTURE RELEASE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23020", "description": "CAPSULAR CONTRACTURE RELEASE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1167.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4027", "description": "Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of meningocele; less than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63700", "description": "Repair of meningocele; less than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2494.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystatin C", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82610", "description": "Cystatin C", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketosteroids, 17- (17-KS); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83586", "description": "Ketosteroids, 17- (17-KS); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15110", "description": "Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1203.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN IMPLTJ NEA NEUROMUSCULAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64580", "description": "OPN IMPLTJ NEA NEUROMUSCULAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 572.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decortication, pulmonary (separate procedure); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32220", "description": "Decortication, pulmonary (separate procedure); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2797.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27638", "description": "Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1244.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 772.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73702", "description": "Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81448", "description": "HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG MNISC RPR M L", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29883", "description": "ARTHRS KNE SRG MNISC RPR M L", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1410.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of defect with autograft; radius OR ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25425", "description": "Repair of defect with autograft; radius OR ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1600.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73218", "description": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32553", "description": "Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for cystography or voiding urethrocystography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51600", "description": "Injection procedure for cystography or voiding urethrocystography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 112.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92004", "description": "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, nonpectin-based, paste, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4405", "description": "Ostomy skin barrier, nonpectin-based, paste, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aluminum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82108", "description": "Aluminum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, darbepoetin alfa, 1 mcg (non-ESRD use)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0881", "description": "Injection, darbepoetin alfa, 1 mcg (non-ESRD use)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thymol turbidity, blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P2033", "description": "Thymol turbidity, blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75563", "description": "Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences; with stress imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 521.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endomyocardial biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93505", "description": "Endomyocardial biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 767.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ventricular assist device; extracorporeal, single ventricle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33977", "description": "Removal of ventricular assist device; extracorporeal, single ventricle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1884.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42894", "description": "Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3651.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of local lesion of epididymis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54830", "description": "Excision of local lesion of epididymis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 609.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27301", "description": "Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 871.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT TIBIA IMED LNGTH DEV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27713", "description": "OSTEOT TIBIA IMED LNGTH DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3126.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBD MIN DSC THC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22556", "description": "ARTHRD ANT NTRBD MIN DSC THC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2958.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33226", "description": "Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 769.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93285", "description": "Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 688.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctival flap; bridge or partial (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68360", "description": "Conjunctival flap; bridge or partial (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 615.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture, secondary, of abdominal wall for evisceration or dehiscence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49900", "description": "Suture, secondary, of abdominal wall for evisceration or dehiscence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1453.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74340", "description": "Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with biopsy(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52204", "description": "Cystourethroscopy, with biopsy(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4761.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST SEMIQ MEAS THYM KN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0404U", "description": "ONC BRST SEMIQ MEAS THYM KN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of retroperitoneal abscess, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49060", "description": "Drainage of retroperitoneal abscess, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1858.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH 2-12 HOURS UNMONITORED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95711", "description": "VEEG BY TECH 2-12 HOURS UNMONITORED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22853", "description": "INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 426.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chloride; urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82436", "description": "Chloride; urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70551", "description": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, dislocating peroneal tendons; with fibular osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27676", "description": "Repair, dislocating peroneal tendons; with fibular osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1020.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pregnanediol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84135", "description": "Pregnanediol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Swingaway, detachable footrests, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0052", "description": "Swingaway, detachable footrests, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87076", "description": "Culture, bacterial; anaerobic isolate, additional methods required for definitive identification, each isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 159.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62328", "description": "DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration of bladder; by needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51100", "description": "Aspiration of bladder; by needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62362", "description": "Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 671.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; diathermy (eg, microwave)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97024", "description": "Application of a modality to 1 or more areas; diathermy (eg, microwave)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93650", "description": "ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 902.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93503", "description": "Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose, body fluid, other than blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82945", "description": "Glucose, body fluid, other than blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of upper arm or elbow area; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24065", "description": "Biopsy, soft tissue of upper arm or elbow area; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of trichiasis; incision of lid margin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67830", "description": "Correction of trichiasis; incision of lid margin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25575", "description": "Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1516.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2 VAC 3MCG TRS-SUC IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91318", "description": "SARSCOV2 VAC 3MCG TRS-SUC IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLULAVAL)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2036", "description": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLULAVAL)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND S W <3\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6445", "description": "CONFORM BAND S W <3\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0030U", "description": "Drug metabolism (warfarin drug response), targeted sequence analysis (ie, CYP2C9, CYP4F2, VKORC1, rs12777823)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94617", "description": "Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11010", "description": "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76827", "description": "Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2101", "description": "Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22527", "description": "PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84235", "description": "Receptor assay; endocrine, other than estrogen or progesterone (specify hormone)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2632", "description": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR SCR SEV INH COND 5 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0449U", "description": "CAR SCR SEV INH COND 5 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2737.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brake attachment for wheeled walker, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0159", "description": "Brake attachment for wheeled walker, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50970", "description": "Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONSHEET FORM SKIN SUB AS DEVC NOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4100", "description": "NONSHEET FORM SKIN SUB AS DEVC NOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DONANEMAB-AZBT 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0175", "description": "INJ DONANEMAB-AZBT 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD RESCJ TUM SHOULDER<5 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23077", "description": "RAD RESCJ TUM SHOULDER<5 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1898.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL BAT MODUL SYS LEAD ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64658", "description": "RMVL BAT MODUL SYS LEAD ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 868.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPB VACC 2/4 DOSE ADULT IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90739", "description": "HEPB VACC 2/4 DOSE ADULT IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50947", "description": "Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2154.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst ext pt 45 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2008", "description": "Post-D/C H Vst ext pt 45 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Krukenberg procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25915", "description": "Krukenberg procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1904.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 164.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62365", "description": "Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43641", "description": "Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2073.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPV HIGH RISK TYPES MALE URINE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0096U", "description": "HPV HIGH RISK TYPES MALE URINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, quinupristin/dalfopristin, 500 mg (150/350)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2770", "description": "Injection, quinupristin/dalfopristin, 500 mg (150/350)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 47.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47400", "description": "Hepaticotomy or hepaticostomy with exploration, drainage, or removal of calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3650.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64766", "description": "Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1128.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with transendoscopic balloon dilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44405", "description": "Colonoscopy through stoma; with transendoscopic balloon dilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87531", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63003", "description": "LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2244.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, avelumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9023", "description": "Injection, avelumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33871", "description": "TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5477.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical dressing holder, reusable, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4463", "description": "Surgical dressing holder, reusable, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4010", "description": "Cast supplies, short arm cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TISLELIZUMAB-JSGR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9329", "description": "INJ TISLELIZUMAB-JSGR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M NEW PT 20 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0661", "description": "TEAM REMOTE E/M NEW PT 20 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10006", "description": "Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS NG GYRA S91F PT MUT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0483U", "description": "NFCT DS NG GYRA S91F PT MUT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27517", "description": "Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sterile water/saline, 500 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4217", "description": "Sterile water/saline, 500 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "AU" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6604.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81243", "description": "FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), head or neck; more than 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64886", "description": "Nerve graft (includes obtaining graft), head or neck; more than 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1974.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0121", "description": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44121", "description": "Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoplasty (corneal transplant); penetrating (in aphakia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65750", "description": "Keratoplasty (corneal transplant); penetrating (in aphakia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1848.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97813", "description": "Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with endoscopic mucosal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45390", "description": "Colonoscopy, flexible; with endoscopic mucosal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 502.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunofluorescence, per specimen; initial single antibody stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88346", "description": "Immunofluorescence, per specimen; initial single antibody stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83527", "description": "Insulin; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cranioplasty for skull defect with reparative brain surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62145", "description": "Cranioplasty for skull defect with reparative brain surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2572.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of patellar dislocation, with or without partial or total patellectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27566", "description": "Open treatment of patellar dislocation, with or without partial or total patellectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1484.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99214", "description": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97535", "description": "SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 116.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49450", "description": "Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54420", "description": "Corpora cavernosa-saphenous vein shunt (priapism operation), unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1110.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX HUMRL SHFT FX PLATE/SCR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24515", "description": "OPTX HUMRL SHFT FX PLATE/SCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1475.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC POSIT OSA TX W/SENSOR COMP ACC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0530", "description": "ELEC POSIT OSA TX W/SENSOR COMP ACC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open closure of major bronchial fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32815", "description": "Open closure of major bronchial fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4795.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TACROLIM GRANULES ORAL SUSP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7521", "description": "TACROLIM GRANULES ORAL SUSP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin (Hizentra), 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1559", "description": "Injection, immune globulin (Hizentra), 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMA EACH IG CLASS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86231", "description": "EMA EACH IG CLASS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amino acids; single, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82131", "description": "Amino acids; single, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67966", "description": "EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 959.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40814", "description": "Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 465.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of esophagus, over guide wire", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43453", "description": "Dilation of esophagus, over guide wire", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95966", "description": "Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2798.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54390", "description": "Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1936.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endolymphatic sac operation; with shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69806", "description": "Endolymphatic sac operation; with shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1437.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0480", "description": "DRUG TEST DEFINITV DR ID METH P DAY 1-7 DRUG CL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29897", "description": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 823.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 192.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GLUCAGON GVOKE 0.01 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1612", "description": "INJ GLUCAGON GVOKE 0.01 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43310", "description": "Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2553.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPL ALW ADJ CGM S & ACC 1 M S=1 U S", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4238", "description": "SPL ALW ADJ CGM S & ACC 1 M S=1 U S", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 421.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN RCR 3-10 NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49616", "description": "RPR AA HRN RCR 3-10 NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1434.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0509", "description": "Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mycophenolate (mycophenolic acid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80180", "description": "Mycophenolate (mycophenolic acid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21558", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2197.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73221", "description": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33766", "description": "Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2291.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI MALABS AAT CALPRO PNCRTC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0430U", "description": "GI MALABS AAT CALPRO PNCRTC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEP NAFLD SEMIQ EVL 28 LIPID", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0344U", "description": "HEP NAFLD SEMIQ EVL 28 LIPID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1188.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27177", "description": "Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1844.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO-MAXX/AMNIO-MAXX LITE P-SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4239", "description": "AMNIO-MAXX/AMNIO-MAXX LITE P-SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with meniscus repair, knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27403", "description": "Arthrotomy with meniscus repair, knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1095.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevation of depressed skull fracture; simple, extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62000", "description": "Elevation of depressed skull fracture; simple, extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1962.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frozen blood, each unit; thawing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86931", "description": "Frozen blood, each unit; thawing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44020", "description": "Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1668.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GLUCOSE MONITOR W CARTRIDGE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2104", "description": "GLUCOSE MONITOR W CARTRIDGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; metatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28173", "description": "Radical resection of tumor; metatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26230", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of lymph node abscess or lymphadenitis; extensive", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38305", "description": "Drainage of lymph node abscess or lymphadenitis; extensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81333", "description": "TGFBI (transforming growth factor beta-induced) (eg, corneal dystrophy) gene analysis, common variants (eg, R124H, R124C, R124L, R555W, R555Q", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1658.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80069", "description": "RENAL FUNCTION PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75635", "description": "CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SGD ACCESSORY EMG SENSOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2513", "description": "SGD ACCESSORY EMG SENSOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5052.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, benralizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0517", "description": "Injection, benralizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1034.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shock absorber for manual wheelchair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1015", "description": "Shock absorber for manual wheelchair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation arteries; ethmoidal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30915", "description": "Ligation arteries; ethmoidal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 954.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0246", "description": "FOLLOWUP EVAL DIABETIC PT NEUROPATHY W/LOPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vital capacity, total (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94150", "description": "Vital capacity, total (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92311", "description": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eye", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, toe; multiple tendons", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28011", "description": "Tenotomy, percutaneous, toe; multiple tendons", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 459.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT STENT SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37258", "description": "REVSC EVASC IVT STENT SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 730.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25107", "description": "Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1049.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11603", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bladder irrigation, simple, lavage and/or instillation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51700", "description": "Bladder irrigation, simple, lavage and/or instillation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21390", "description": "Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1244.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGIGRAFT-DUAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4219", "description": "SURGIGRAFT-DUAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventilating tube removal requiring general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69424", "description": "Ventilating tube removal requiring general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attached to bed, includes weights", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0920", "description": "Fracture frame, attached to bed, includes weights", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION EPCORITAMAB-BYSP 0.16 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9321", "description": "INJECTION EPCORITAMAB-BYSP 0.16 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; virus, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86790", "description": "Antibody; virus, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTA CL TO 100 M AUT BCMA CR-P TC D", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2056", "description": "CLTA CL TO 100 M AUT BCMA CR-P TC D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 832775.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or transposition of pterygium; without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65420", "description": "Excision or transposition of pterygium; without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 582.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0128", "description": "DIR SKLED SERV RN OP REHAB EA 10 MIN AFTR 1ST 5", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen cross links, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82523", "description": "Collagen cross links, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47540", "description": "PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 648.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ RANIBIZUMAB-EQRN BS 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5128", "description": "INJ RANIBIZUMAB-EQRN BS 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65210", "description": "Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESECTION HUMERAL HEAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23195", "description": "RESECTION HUMERAL HEAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1274.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of leg or ankle area; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27613", "description": "Biopsy, soft tissue of leg or ankle area; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27503", "description": "Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1348.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76932", "description": "Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81183", "description": "ATXN10 (ataxin 10) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2041.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subsequent hospital care, per day, for evaluation and management of normal newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99462", "description": "Subsequent hospital care, per day, for evaluation and management of normal newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28232", "description": "Tenotomy, open, tendon flexor; toe, single tendon (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 402.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22842", "description": "POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1270.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27646", "description": "Radical resection of tumor; fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2498.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50976", "description": "URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 710.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75984", "description": "Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV PREP COUNSEL, MD 15-30M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0011", "description": "HIV PREP COUNSEL, MD 15-30M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen dressing, sterile, size 16 sq in or less, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6021", "description": "Collagen dressing, sterile, size 16 sq in or less, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1061.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture and/or ligation of thoracic duct; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38380", "description": "Suture and/or ligation of thoracic duct; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 917.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cisplatin, powder or solution, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9060", "description": "Injection, cisplatin, powder or solution, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tissue expander without insertion of implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11971", "description": "Removal of tissue expander without insertion of implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 919.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mobility cart for pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0502", "description": "Mobility cart for pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1172.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratophakia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65765", "description": "Keratophakia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4722.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leuprolide acetate (for depot suspension), 7.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9217", "description": "Leuprolide acetate (for depot suspension), 7.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1000.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92312", "description": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, osseous survey; complete (axial and appendicular skeleton)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77075", "description": "Radiologic examination, osseous survey; complete (axial and appendicular skeleton)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65280", "description": "Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 977.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81109", "description": "HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24341", "description": "Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0785", "description": "Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 920.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; 4 coronary venous grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33513", "description": "Coronary artery bypass, vein only; 4 coronary venous grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4191.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALEXIGUARD TL-T PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4416", "description": "ALEXIGUARD TL-T PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86079", "description": "BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX OPN RMVL RPLC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43888", "description": "GSTR RSTCV PX OPN RMVL RPLC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 839.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64891", "description": "Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1871.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quinine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84228", "description": "Quinine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1180.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 640.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75565", "description": "Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IM ADM INTRANSL/ORAL EA VACCINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90474", "description": "IM ADM INTRANSL/ORAL EA VACCINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2371.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0174T", "description": "CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preparation of embryo for transfer (any method)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89255", "description": "Preparation of embryo for transfer (any method)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2375", "description": "Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1120.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; ultrasound, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97035", "description": "Application of a modality to 1 or more areas; ultrasound, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 200.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AXOLOTL DUAL ULT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4384", "description": "AXOLOTL DUAL ULT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34845", "description": "VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4027.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2416.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66505", "description": "Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 668.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28636", "description": "Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 389.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with removal of intrapulmonary foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32151", "description": "Thoracotomy; with removal of intrapulmonary foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1762.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture or repair of testicular injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54670", "description": "Suture or repair of testicular injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 663.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56634", "description": "Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2221.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor XIII (antihemophilic factor, human), 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7180", "description": "Injection, factor XIII (antihemophilic factor, human), 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM TX MGMT 1ST 20 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98980", "description": "RTM TX MGMT 1ST 20 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81304", "description": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56606", "description": "Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8415.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein analysis of tissue by Western Blot, with interpretation and report;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88371", "description": "Protein analysis of tissue by Western Blot, with interpretation and report;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27612", "description": "Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 957.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27501", "description": "Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 860.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2622", "description": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 583.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for splenoportography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38200", "description": "Injection procedure for splenoportography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACETYLCHOLN RCPTR MODLG ANTB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86043", "description": "ACETYLCHOLN RCPTR MODLG ANTB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM IMG ACQUISJ ONLY EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96935", "description": "RCM IMG ACQUISJ ONLY EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver imaging; static only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78201", "description": "Liver imaging; static only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of large omphalocele or gastroschisis; with or without prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49605", "description": "Repair of large omphalocele or gastroschisis; with or without prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8239.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hydralazine HCl, up to 20 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0360", "description": "Injection, hydralazine HCl, up to 20 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, toe, macrodactyly; soft tissue resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28340", "description": "Reconstruction, toe, macrodactyly; soft tissue resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 655.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Red cell volume determination (separate procedure); multiple samplings", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78121", "description": "Red cell volume determination (separate procedure); multiple samplings", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of esophageal wound or injury; transthoracic or transabdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43415", "description": "Suture of esophageal wound or injury; transthoracic or transabdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4400.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87540", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86825", "description": "Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50951", "description": "Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 468.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, aprepitant, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0185", "description": "Injection, aprepitant, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salivary gland imaging;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78230", "description": "Salivary gland imaging;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11004", "description": "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 905.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81232", "description": "DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyridoxal phosphate (Vitamin B-6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84207", "description": "Pyridoxal phosphate (Vitamin B-6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IRRIGATION SUPPLY SLV DISP PER MNTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4437", "description": "IRRIGATION SUPPLY SLV DISP PER MNTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57240", "description": "Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 964.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86335", "description": "Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVIVE FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4424", "description": "REVIVE FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28039", "description": "Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior chamber intraocular lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2630", "description": "Anterior chamber intraocular lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31730", "description": "Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair and refitting spectacles; except for aphakia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92370", "description": "Repair and refitting spectacles; except for aphakia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOTHELIUM 4L PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4388", "description": "NEOTHELIUM 4L PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM GENETIC BLD DO 51 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0272U", "description": "HEM GENETIC BLD DO 51 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 663.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35141", "description": "DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1812.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46940", "description": "Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57150", "description": "Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMELLAS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4292", "description": "LAMELLAS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24134", "description": "Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1262.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 20741.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47001", "description": "Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63270", "description": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3837.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard-weight frame motorized/power wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0010", "description": "Standard-weight frame motorized/power wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 774.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0431", "description": "Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37248", "description": "TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 458.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Unlisted magnetic resonance procedure (eg, diagnostic, interventional)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76498", "description": "Unlisted magnetic resonance procedure (eg, diagnostic, interventional)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52342", "description": "Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 474.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COM WRAP W STRAPS AK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6585", "description": "GRAD COM WRAP W STRAPS AK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15156", "description": "CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36226", "description": "SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 613.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GAUNTLET CUSTOM EACH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6565", "description": "GRADIENT COMPR GAUNTLET CUSTOM EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION MELPHALAN EVOMELA 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9246", "description": "INJECTION MELPHALAN EVOMELA 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2838.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 397.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCHO CRISIS FURN APP ADDL 30 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0018", "description": "PSYCHO CRISIS FURN APP ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2383", "description": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPINEPHRINE IN NACL ENDO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0163", "description": "EPINEPHRINE IN NACL ENDO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transposition and/or reimplantation; vertebral to carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35691", "description": "Transposition and/or reimplantation; vertebral to carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1580.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE TRGT SEQ ALYS CYP2D7-2D6 HYBRID GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0073U", "description": "CYP2D6 GENE TRGT SEQ ALYS CYP2D7-2D6 HYBRID GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy, midfoot; medial release only (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28260", "description": "Capsulotomy, midfoot; medial release only (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 899.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of mesentery (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44820", "description": "Excision of lesion of mesentery (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1477.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88272", "description": "Molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells (eg, for derivatives and markers)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, procainamide HCl, up to 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2690", "description": "Injection, procainamide HCl, up to 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; with removal of loose body or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29819", "description": "Arthroscopy, shoulder, surgical; with removal of loose body or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 983.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERNAL NEUROLYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64727", "description": "INTERNAL NEUROLYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62369", "description": "ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25120", "description": "Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 849.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collection of venous blood by venipuncture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36415", "description": "Collection of venous blood by venipuncture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IMVT ANGIO SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37297", "description": "REVSC EVASC IMVT ANGIO SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG FEMORAL-FEMORAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35661", "description": "BPG FEMORAL-FEMORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1796.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67412", "description": "Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1523.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52601", "description": "TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 919.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RF SPECTRSC R-T INTRAOP MRGN ASSMT AT PRTL MAST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0546T", "description": "RF SPECTRSC R-T INTRAOP MRGN ASSMT AT PRTL MAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of intrauterine device (IUD)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58300", "description": "Insertion of intrauterine device (IUD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5698.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11311", "description": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0001U", "description": "Red blood cell antigen typing, DNA, human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups, utilizing whole blood, common RBC alleles reported", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20939", "description": "Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary suspensory with leg bag, with or without tube, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5105", "description": "Urinary suspensory with leg bag, with or without tube, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 90.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, mobile or stationary, with fixed arms", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0163", "description": "Commode chair, mobile or stationary, with fixed arms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Select picture audiometry", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92583", "description": "Select picture audiometry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, tendon sheath, foot; flexor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28086", "description": "Synovectomy, tendon sheath, foot; flexor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 590.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52334", "description": "Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy, retrograde", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37211", "description": "THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 606.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic knee, extension/flexion device with active resistance control", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1812", "description": "Dynamic knee, extension/flexion device with active resistance control", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ/RPLCMT BAT MOD SYS LEAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64655", "description": "REVJ/RPLCMT BAT MOD SYS LEAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1165.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with injection(s) for chemodenervation of the bladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52287", "description": "Cystourethroscopy, with injection(s) for chemodenervation of the bladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87077", "description": "Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25635", "description": "Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 758.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement pad for use with medically necessary alternating pressure pad owned by patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4640", "description": "Replacement pad for use with medically necessary alternating pressure pad owned by patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51590", "description": "Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine anastomosis;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2988.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0041U", "description": "Borrelia burgdorferi, antibody detection of 5 recombinant protein groups, by immunoblot, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1575", "description": "Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMPR GMT F LG&FT PAD NT CST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6527", "description": "GRAD CMPR GMT F LG&FT PAD NT CST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1911.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of urethral diverticulum (separate procedure); female", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53230", "description": "Excision of urethral diverticulum (separate procedure); female", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 973.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95970", "description": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61645", "description": "PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1400.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76519", "description": "Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oral interface used with respiratory suction pump, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7047", "description": "Oral interface used with respiratory suction pump, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 132.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20605", "description": "ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STREP A AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87430", "description": "STREP A AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross and microscopic; with brain and spinal cord", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88027", "description": "Necropsy (autopsy), gross and microscopic; with brain and spinal cord", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 873.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aldosterone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82088", "description": "Aldosterone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0169", "description": "PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87511", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50391", "description": "INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14021", "description": "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1090.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerclage of uterine cervix, nonobstetrical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57700", "description": "Cerclage of uterine cervix, nonobstetrical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46910", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRP NTRCRPL/CRP/MTCRP SSP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25448", "description": "ARTHRP NTRCRPL/CRP/MTCRP SSP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1462.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90960", "description": "ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 636.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36832", "description": "Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1256.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, diagnostic (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58555", "description": "Hysteroscopy, diagnostic (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66184", "description": "Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagotomy, cervical approach, with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43020", "description": "Esophagotomy, cervical approach, with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1005.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM GEN THROMBOSIS 12 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0278U", "description": "HEM GEN THROMBOSIS 12 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2208", "description": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy; with excision of foreign body from brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61570", "description": "Craniectomy or craniotomy; with excision of foreign body from brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3473.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36482", "description": "ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis of long tendon of biceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23430", "description": "Tenodesis of long tendon of biceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1246.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of omphalocele (Gross type operation); second stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49611", "description": "Repair of omphalocele (Gross type operation); second stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1076.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, nonsegmental home model", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0650", "description": "Pneumatic compressor, nonsegmental home model", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1392.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR LC-MS/MS UR/BLD 31", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0051U", "description": "RX MNTR LC-MS/MS UR/BLD 31", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50957", "description": "URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 542.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, minimum 4 static views; with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78606", "description": "Brain imaging, minimum 4 static views; with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 463.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; major peripheral nerve, except sciatic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64784", "description": "Excision of neuroma; major peripheral nerve, except sciatic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1205.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2306", "description": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2389", "description": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS DELTA AGENT AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87380", "description": "HEPATITIS DELTA AGENT AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0691", "description": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous anastomosis, open; splenorenal, proximal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37180", "description": "Venous anastomosis, open; splenorenal, proximal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3594.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15220", "description": "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 947.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61512", "description": "Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4676.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TALQUETAMAB-TGVS 0.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3055", "description": "INJ TALQUETAMAB-TGVS 0.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27187", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1652.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, triceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24332", "description": "Tenolysis, triceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1058.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5864.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; lunate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25444", "description": "Arthroplasty with prosthetic replacement; lunate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1356.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0967", "description": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, fixed full-length arms, without footrests or legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1171", "description": "Amputee wheelchair, fixed full-length arms, without footrests or legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "T cells; total count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86359", "description": "T cells; total count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ofatumumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9302", "description": "Injection, ofatumumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSL FIASP ADM THRU DME PER 50 U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1811", "description": "INSL FIASP ADM THRU DME PER 50 U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74022", "description": "RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LUNG EXPANS HIGH OSCIL NEB", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0469", "description": "LUNG EXPANS HIGH OSCIL NEB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2348.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leukocyte alkaline phosphatase with count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85540", "description": "Leukocyte alkaline phosphatase with count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54520", "description": "Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 537.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97802", "description": "Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin, chorionic (hCG); quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84702", "description": "Gonadotropin, chorionic (hCG); quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90885", "description": "Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50694", "description": "PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 395.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ RIFAMPIN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2804", "description": "INJ RIFAMPIN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0121U", "description": "Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 763.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57461", "description": "Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of urethral diverticulum (separate procedure); male", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53235", "description": "Excision of urethral diverticulum (separate procedure); male", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1008.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Obstetric panel (includes HIV testing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80081", "description": "Obstetric panel (includes HIV testing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28092", "description": "Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87267", "description": "Infectious agent antigen detection by immunofluorescent technique; Enterovirus, direct fluorescent antibody (DFA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38215", "description": "Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platelet, aggregation (in vitro), each agent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85576", "description": "Platelet, aggregation (in vitro), each agent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VIII, von Willebrand factor, multimetric analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85247", "description": "Clotting; factor VIII, von Willebrand factor, multimetric analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Motion fluoroscopic evaluation of swallowing function by cine or video recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92611", "description": "Motion fluoroscopic evaluation of swallowing function by cine or video recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3171.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9524", "description": "Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 637.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81327", "description": "SEPT9 (Septin9) (eg, colorectal cancer) promoter methylation analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99472", "description": "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 596.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82010", "description": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transferase; alanine amino (ALT) (SGPT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84460", "description": "Transferase; alanine amino (ALT) (SGPT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24370", "description": "Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2465.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Red cell volume determination (separate procedure); single sampling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78120", "description": "Red cell volume determination (separate procedure); single sampling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ventricular assist device; extracorporeal, biventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33978", "description": "Removal of ventricular assist device; extracorporeal, biventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2248.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77615", "description": "Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1727.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81185", "description": "CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg, spinocerebellar ataxia) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1269.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and removal of foreign body, subcutaneous tissues; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10120", "description": "Incision and removal of foreign body, subcutaneous tissues; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33619", "description": "Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg, Norwood procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4699.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Relocation of skin pocket for pacemaker", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33222", "description": "Relocation of skin pocket for pacemaker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 561.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87902", "description": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81364", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using arterial graft(s); single arterial graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33533", "description": "Coronary artery bypass, using arterial graft(s); single arterial graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3201.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LWR XTR FSCL PLN BLK UNI NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64473", "description": "LWR XTR FSCL PLN BLK UNI NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9036", "description": "INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 158.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, partial;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56630", "description": "Vulvectomy, radical, partial;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1617.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 MRNA HOXC6 & DLX1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0339U", "description": "ONC PRST8 MRNA HOXC6 & DLX1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DOCETAXEL DOCIVYX 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9172", "description": "DOCETAXEL DOCIVYX 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of palate, and pharyngeal flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42226", "description": "Lengthening of palate, and pharyngeal flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1474.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of stapedectomy or stapedotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69662", "description": "Revision of stapedectomy or stapedotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1802.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0828", "description": "Power wheelchair, group 2 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1592.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81207", "description": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; minor breakpoint, qualitative or quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of tendon sheath, digit and/or palm, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26020", "description": "Drainage of tendon sheath, digit and/or palm, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable elbow extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1800", "description": "Dynamic adjustable elbow extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2629", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephelometry, each analyte not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83883", "description": "Nephelometry, each analyte not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96413", "description": "Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1565.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN SOL TUM NGS CFCTDNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0486U", "description": "ONC PAN SOL TUM NGS CFCTDNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2466.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLONOSCOPY STOMA W/US GID NDL ASPIR/BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44407", "description": "COLONOSCOPY STOMA W/US GID NDL ASPIR/BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 417.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48105", "description": "Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, hydrophilic, bifocal, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2522", "description": "Contact lens, hydrophilic, bifocal, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 432.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3772.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cautery of cervix; laser ablation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57513", "description": "Cautery of cervix; laser ablation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 233.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67110", "description": "Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1209.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87636", "description": "Infectious agent detection by nucleic acid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78635", "description": "Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 477.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92615", "description": "Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43647", "description": "Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1728.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, iron sucrose, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1756", "description": "Injection, iron sucrose, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17314", "description": "MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Submucous resection inferior turbinate, partial or complete, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30140", "description": "Submucous resection inferior turbinate, partial or complete, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pamidronate disodium, per 30 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2430", "description": "Injection, pamidronate disodium, per 30 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tracheal tumor or carcinoma; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31786", "description": "Excision of tracheal tumor or carcinoma; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2480.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROTOMY GLENHUMRL JT W/BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23100", "description": "ARTHROTOMY GLENHUMRL JT W/BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 881.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Right ventricular recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93603", "description": "Right ventricular recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N-INVAS EAR/PLS OXIMTRY CONT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94762", "description": "N-INVAS EAR/PLS OXIMTRY CONT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of clavicular fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23505", "description": "Closed treatment of clavicular fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 619.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Set-up portable x-ray equipment", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0092", "description": "Set-up portable x-ray equipment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, congenital arteriovenous fistula; head and neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35180", "description": "Repair, congenital arteriovenous fistula; head and neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1312.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47142", "description": "Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8012.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94012", "description": "Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV STRESS TEST I R ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93018", "description": "CV STRESS TEST I R ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial femoral hernia, any age; reducible", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49550", "description": "Repair initial femoral hernia, any age; reducible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1018.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27615", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1695.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44126", "description": "Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4187.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23156", "description": "Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1154.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BETA AMYLOID AB42/40 IMPRCIP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0412U", "description": "BETA AMYLOID AB42/40 IMPRCIP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33621", "description": "Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg, hybrid approach stage 1)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1612.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 727.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY SPEC XCP UR&BREATH IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82077", "description": "ASSAY SPEC XCP UR&BREATH IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS IMPLT CPLX CN NPGT PRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95977", "description": "ELEC ALYS IMPLT CPLX CN NPGT PRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of catheter, superior or inferior vena cava", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36010", "description": "Introduction of catheter, superior or inferior vena cava", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Large volume nebulizer, disposable, prefilled, used with aerosol compressor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7008", "description": "Large volume nebulizer, disposable, prefilled, used with aerosol compressor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasopharyngoscopy with endoscope (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92511", "description": "Nasopharyngoscopy with endoscope (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, femur, shaft or supracondylar; without fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27448", "description": "Osteotomy, femur, shaft or supracondylar; without fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1369.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31296", "description": "NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, secondary, Achilles tendon, with or without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27654", "description": "Repair, secondary, Achilles tendon, with or without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1195.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Triiodothyronine T3; total (TT-3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84480", "description": "Triiodothyronine T3; total (TT-3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PT/CAREGIVER TRAINJ FOR INITIATION HOME INR MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93792", "description": "PT/CAREGIVER TRAINJ FOR INITIATION HOME INR MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 160.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99449", "description": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31267", "description": "Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, planned (separate procedure);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31600", "description": "Tracheostomy, planned (separate procedure);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 489.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; Rh (D)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86901", "description": "Blood typing, serologic; Rh (D)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24344", "description": "Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1850.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microsomal antibodies (eg, thyroid or liver-kidney), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86376", "description": "Microsomal antibodies (eg, thyroid or liver-kidney), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB ADVRS VRNT ALYS 25", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0434U", "description": "RX METAB ADVRS VRNT ALYS 25", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19284", "description": "PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44213", "description": "Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1889.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0960", "description": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28120", "description": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 823.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin barrier, wipes or swabs, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5120", "description": "Skin barrier, wipes or swabs, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "AV" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21365", "description": "OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1701.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive remover or solvent (for tape, cement or other adhesive), per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4455", "description": "Adhesive remover or solvent (for tape, cement or other adhesive), per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38209", "description": "Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peripheral arterial disease (PAD) rehabilitation, per session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93668", "description": "Peripheral arterial disease (PAD) rehabilitation, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1963.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93224", "description": "XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD SI JT PLMT IARTIC DEV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27278", "description": "ARTHRD SI JT PLMT IARTIC DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 763.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1281.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphohexose isomerase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84087", "description": "Phosphohexose isomerase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58280", "description": "Vaginal hysterectomy, with total or partial vaginectomy; with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1656.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CACNA1A FULL GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0231U", "description": "CACNA1A FULL GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1269.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11313", "description": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydroxycorticosteroids, 17- (17-OHCS)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83491", "description": "Hydroxycorticosteroids, 17- (17-OHCS)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLOSTRIDIUM AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87324", "description": "CLOSTRIDIUM AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "R0070", "description": "Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 453.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0953", "description": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER RX MNTR 60-150RX&METABL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0587U", "description": "THER RX MNTR 60-150RX&METABL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31551", "description": "Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2416.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93350", "description": "ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, gas permeable, spherical, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2510", "description": "Contact lens, gas permeable, spherical, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0482", "description": "Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8204.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, lever-activated, wheel drive, pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0988", "description": "Manual wheelchair accessory, lever-activated, wheel drive, pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 615.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15121", "description": "SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 %", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of chest wall following open flap drainage for empyema (Clagett type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32810", "description": "Closure of chest wall following open flap drainage for empyema (Clagett type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1589.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27740", "description": "Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1198.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62117", "description": "Reduction of craniomegalic skull (eg, treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3618.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92133", "description": "Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Right ventricular resection for infundibular stenosis, with or without commissurotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33476", "description": "Right ventricular resection for infundibular stenosis, with or without commissurotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2639.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 641.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arterial puncture, withdrawal of blood for diagnosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36600", "description": "Arterial puncture, withdrawal of blood for diagnosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystography, oral contrast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74290", "description": "Cholecystography, oral contrast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97602", "description": "RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, caspofungin acetate, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0637", "description": "Injection, caspofungin acetate, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77003", "description": "FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36456", "description": "Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified health care professional, newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid seat insert", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0992", "description": "Manual wheelchair accessory, solid seat insert", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87103", "description": "Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D F/ARM /WRST DP ABSC/HMTM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25028", "description": "I D F/ARM /WRST DP ABSC/HMTM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1230.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42330", "description": "Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 265.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93356", "description": "MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostoma stent/stud/button, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7524", "description": "Tracheostoma stent/stud/button, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64635", "description": "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of intact breast implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19328", "description": "Removal of intact breast implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 917.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of mucosa of vestibule of mouth as donor graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40818", "description": "Excision of mucosa of vestibule of mouth as donor graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 434.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transcatheter closure of a congenital ventricular septal defect with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93581", "description": "Percutaneous transcatheter closure of a congenital ventricular septal defect with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2085.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, forearm, through radius and ulna; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25907", "description": "Amputation, forearm, through radius and ulna; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1051.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR TA NDGFT XCOV LSA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33881", "description": "EVASC RPR TA NDGFT XCOV LSA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1973.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5429.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, leg; secondary, with or without graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27665", "description": "Repair, extensor tendon, leg; secondary, with or without graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 707.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96136", "description": "Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COSTOTRANSVERSECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21610", "description": "COSTOTRANSVERSECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2291.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27217", "description": "OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1299.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7014.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; shoulder (eg, Velpeau)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29240", "description": "Strapping; shoulder (eg, Velpeau)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chloride; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82435", "description": "Chloride; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DAPTOMYCIN (XELLIA)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0873", "description": "INJ DAPTOMYCIN (XELLIA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6207", "description": "Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2614", "description": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77372", "description": "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1672.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69645", "description": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or complete, without ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2388.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0165T", "description": "REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 731.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81337", "description": "SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81179", "description": "ATXN2 (ataxin 2) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with control of traumatic hemorrhage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32654", "description": "Thoracoscopy, surgical; with control of traumatic hemorrhage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2048.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92541", "description": "Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15003", "description": "PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0212T", "description": "Comprehensive audiometry threshold evaluation and speech recognition (0209T, 0211T combined), automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58950", "description": "Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1924.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INCISION BONE CORTEX SHO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23035", "description": "INCISION BONE CORTEX SHO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1137.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, recline only, without shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1003", "description": "Wheelchair accessory, power seating system, recline only, without shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 809.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62326", "description": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; count 5 cells, 1 karyotype, with banding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88261", "description": "Chromosome analysis; count 5 cells, 1 karyotype, with banding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 396.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation of central auditory function, with report; initial 60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92620", "description": "Evaluation of central auditory function, with report; initial 60 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0955", "description": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9153", "description": "Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27758", "description": "Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1495.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22514", "description": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87220", "description": "Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; infrared", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97026", "description": "Application of a modality to 1 or more areas; infrared", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin alfa, (for non-ESRD use), 1000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0885", "description": "Injection, epoetin alfa, (for non-ESRD use), 1000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54060", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80305", "description": "DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2391", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement garment for use with automated external defibrillator, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0608", "description": "Replacement garment for use with automated external defibrillator, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJCT RISANKIZUMAB-RZAA INTRAV 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2327", "description": "INJCT RISANKIZUMAB-RZAA INTRAV 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BARRERA SL OR BARRERA DL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4281", "description": "BARRERA SL OR BARRERA DL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heart-lung transplant with recipient cardiectomy-pneumonectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33935", "description": "Heart-lung transplant with recipient cardiectomy-pneumonectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8372.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, intranasal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30100", "description": "Biopsy, intranasal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostoma revision; simple, without flap rotation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31613", "description": "Tracheostoma revision; simple, without flap rotation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88106", "description": "Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of drains, peripancreatic, for acute pancreatitis;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48000", "description": "Placement of drains, peripancreatic, for acute pancreatitis;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3199.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28289", "description": "Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 768.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPYLORI STOOL AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87338", "description": "HPYLORI STOOL AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36253", "description": "SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage abscess or hematoma, nasal, internal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30000", "description": "Drainage abscess or hematoma, nasal, internal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27303", "description": "Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1082.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess; submaxillary or sublingual, intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42310", "description": "Drainage of abscess; submaxillary or sublingual, intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36640", "description": "Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACHR ANTB ID IMFLUOR LIVECLL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0545U", "description": "ACHR ANTB ID IMFLUOR LIVECLL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4373", "description": "Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0500", "description": "IPPB machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0495", "description": "Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7530.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In-situ vein bypass; femoral-popliteal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35583", "description": "In-situ vein bypass; femoral-popliteal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2383.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0560", "description": "Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 315.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33217", "description": "Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 598.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31552", "description": "Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2340.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteropyelostomy, anastomosis of ureter and renal pelvis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50740", "description": "Ureteropyelostomy, anastomosis of ureter and renal pelvis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2109.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63661", "description": "Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61711", "description": "Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4733.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blepharoplasty, upper eyelid; with excessive skin weighting down lid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15823", "description": "Blepharoplasty, upper eyelid; with excessive skin weighting down lid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 836.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15840", "description": "Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1565.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of elbow joint (arthrectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24155", "description": "Resection of elbow joint (arthrectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1421.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59614", "description": "Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1993.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Melphalan, oral, 2 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8600", "description": "Melphalan, oral, 2 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROMOD STIM SYS ADJ REHAB", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4593", "description": "NEUROMOD STIM SYS ADJ REHAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tongue base suspension, permanent suture technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41512", "description": "Tongue base suspension, permanent suture technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1095.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2371.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63170", "description": "Laminectomy with myelotomy (eg, Bischof or DREZ type), cervical, thoracic, or thoracolumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2982.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AQAPRN-4 ANTB FLO CYTMTRY EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86053", "description": "AQAPRN-4 ANTB FLO CYTMTRY EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99475", "description": "Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 797.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of laceration, vestibule of mouth; over 2.5 cm or complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40831", "description": "Closure of laceration, vestibule of mouth; over 2.5 cm or complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 340.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DUOGRAFT AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4375", "description": "DUOGRAFT AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special teletherapy port plan, particles, hemibody, total body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77321", "description": "Special teletherapy port plan, particles, hemibody, total body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drive belt for power wheelchair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0098", "description": "Drive belt for power wheelchair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92617", "description": "Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m tetrofosmin, diagnostic, per study dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9502", "description": "Technetium Tc-99m tetrofosmin, diagnostic, per study dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45160", "description": "Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1783.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68325", "description": "Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 969.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36483", "description": "ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61323", "description": "CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4368.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0143", "description": "Walker, folding, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25135", "description": "Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 971.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dacryocystography, nasolacrimal duct, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70170", "description": "Dacryocystography, nasolacrimal duct, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55000", "description": "Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59851", "description": "INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 715.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28041", "description": "Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC THYR MRNA 10,196 GEN ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81546", "description": "ONC THYR MRNA 10,196 GEN ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trimming of dystrophic nails, any number", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0127", "description": "Trimming of dystrophic nails, any number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate, soft and/or hard palate only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42200", "description": "Palatoplasty for cleft palate, soft and/or hard palate only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1502.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, elbow, including exploration, drainage, or removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24000", "description": "Arthrotomy, elbow, including exploration, drainage, or removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 826.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL FB MUSC/TDN SIMPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20520", "description": "RMVL FB MUSC/TDN SIMPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, lithium-based battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2397", "description": "Power wheelchair accessory, lithium-based battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 585.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, palifermin, 50 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2425", "description": "Injection, palifermin, 50 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone age studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77072", "description": "Bone age studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66987", "description": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1549.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy for craniosynostosis; frontal or parietal bone flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61556", "description": "Craniotomy for craniosynostosis; frontal or parietal bone flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3177.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 341.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33259", "description": "ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1490.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37249", "description": "TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21127", "description": "Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1211.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, head or brain; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70450", "description": "Computed tomography, head or brain; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0074U", "description": "CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36246", "description": "Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 399.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 15042.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; infratentorial, complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61686", "description": "Surgery of intracranial arteriovenous malformation; infratentorial, complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8094.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunoassay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87811", "description": "Infectious agent antigen detection by immunoassay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86970", "description": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with chemical agents or drugs, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX CONTACT CORNEAL LENS APHAKIA BOTH EYES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92316", "description": "RX CONTACT CORNEAL LENS APHAKIA BOTH EYES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 495.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 185.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2612", "description": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, medroxyprogesterone acetate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1050", "description": "Injection, medroxyprogesterone acetate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lambswool sheepskin pad, any size", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0189", "description": "Lambswool sheepskin pad, any size", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tocopherol alpha (Vitamin E)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84446", "description": "Tocopherol alpha (Vitamin E)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multiple-family group psychotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90849", "description": "Multiple-family group psychotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Candida", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86628", "description": "Antibody; Candida", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX PULMONARY ANGIO HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93568", "description": "NJX PULMONARY ANGIO HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90993", "description": "Dialysis training, patient, including helper where applicable, any mode, course not completed, per training session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROPH RTA DTCHMNT PC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67145", "description": "PROPH RTA DTCHMNT PC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63042", "description": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2245.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COUDE TIP HYDROPHILIC CATH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4296", "description": "COUDE TIP HYDROPHILIC CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2222", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28045", "description": "Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 572.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cisternography, positive contrast, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70015", "description": "Cisternography, positive contrast, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of mandibular fracture; with interdental fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21462", "description": "Open treatment of mandibular fracture; with interdental fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1960.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR JOYSTICK DRIVE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1032", "description": "WHEELCHAIR JOYSTICK DRIVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0956", "description": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irradiation of blood product, each unit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86945", "description": "Irradiation of blood product, each unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69661", "description": "Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with footplate drill out", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1876.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridectomy, with corneoscleral or corneal section; optical (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66635", "description": "Iridectomy, with corneoscleral or corneal section; optical (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 849.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83718", "description": "Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, femoral neck (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27161", "description": "Osteotomy, femoral neck (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BG ROLL INEL SHT STR P/Y W E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6599", "description": "GD CMP BG ROLL INEL SHT STR P/Y W E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0900", "description": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2214", "description": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; for use on faceplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5053", "description": "Ostomy pouch, closed; for use on faceplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft, any donor area; major or large", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20902", "description": "Bone graft, any donor area; major or large", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 431.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87582", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 453.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46948", "description": "INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 797.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary ventilation imaging (eg, aerosol or gas)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78579", "description": "Pulmonary ventilation imaging (eg, aerosol or gas)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43756", "description": "Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals or afferent loop culture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7620", "description": "Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESTIM AID BONE HEALG N-INVAS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20974", "description": "ESTIM AID BONE HEALG N-INVAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43253", "description": "EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 398.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNICORE PRO+ PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4299", "description": "AMNICORE PRO+ PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GARMENT NECK/HEAD EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6566", "description": "GRADIENT COMPR GARMENT NECK/HEAD EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87084", "description": "Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glutathione reductase, RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82979", "description": "Glutathione reductase, RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46716", "description": "Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2213.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discography, cervical or thoracic, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72285", "description": "Discography, cervical or thoracic, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; brachial-brachial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35525", "description": "Bypass graft, with vein; brachial-brachial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1833.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99234", "description": "OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7600.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82010", "description": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62281", "description": "Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 233.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESW PHY ANES LAT HMRL EPCNDL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0102T", "description": "ESW PHY ANES LAT HMRL EPCNDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bioelectrical impedance analysis whole body composition assessment, with interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0358T", "description": "Bioelectrical impedance analysis whole body composition assessment, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81379", "description": "HLA Class I typing, high resolution (ie, alleles or allele groups); complete (ie, HLA-A, -B, and -C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 503.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALB2 GENE ANALYSIS FULL GENE SEQUENCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81307", "description": "PALB2 GENE ANALYSIS FULL GENE SEQUENCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67113", "description": "RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1913.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, supinator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2633", "description": "Wheelchair accessory, addition to mobile arm support, supinator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61650", "description": "EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 979.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolithotomy; lower one-third of ureter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50630", "description": "Ureterolithotomy; lower one-third of ureter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1399.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPV OROP SWAB 14 HI-RISK TYP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0429U", "description": "HPV OROP SWAB 14 HI-RISK TYP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M EST PT 25 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0667", "description": "TEAM REMOTE E/M EST PT 25 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95719", "description": "EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX ULNAR FX PROX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24675", "description": "CLTX ULNAR FX PROX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 759.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, extremity, bilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75822", "description": "Venography, extremity, bilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3348.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74301", "description": "Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body, intranasal; requiring general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30310", "description": "Removal foreign body, intranasal; requiring general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 336.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral destruction of prostate tissue; by radiofrequency thermotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53852", "description": "Transurethral destruction of prostate tissue; by radiofrequency thermotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 619.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ASPARAGINASE RECOMBINANT 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9021", "description": "INJ ASPARAGINASE RECOMBINANT 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, protamine sulfate, per 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2720", "description": "Injection, protamine sulfate, per 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of trunk muscle(s); 1-5 muscle(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64646", "description": "Chemodenervation of trunk muscle(s); 1-5 muscle(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEMP FML IU VALVE-PMP RPLCMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0597T", "description": "TEMP FML IU VALVE-PMP RPLCMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of previously implanted subcutaneous implantable defibrillator electrode", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33273", "description": "Repositioning of previously implanted subcutaneous implantable defibrillator electrode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 650.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97763", "description": "Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33852", "description": "Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2425.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYPHILIS TST ANTB IA QUAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0210U", "description": "SYPHILIS TST ANTB IA QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of mandibular condylar fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21465", "description": "Open treatment of mandibular condylar fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1259.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37214", "description": "CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of pulmonary venous stenosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33726", "description": "Repair of pulmonary venous stenosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3450.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nipple/areola reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19350", "description": "Nipple/areola reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1098.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15152", "description": "CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of anal seton, other marker", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46030", "description": "Removal of anal seton, other marker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82805", "description": "Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22846", "description": "Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1259.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2607", "description": "Skin protection and positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, planned (separate procedure); younger than 2 years", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31601", "description": "Tracheostomy, planned (separate procedure); younger than 2 years", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 666.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermabrasion; segmental, face", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15781", "description": "Dermabrasion; segmental, face", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 645.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27637", "description": "Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, pelvis, bilateral (eg, congenital malformation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27158", "description": "Osteotomy, pelvis, bilateral (eg, congenital malformation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2278.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of extracranial arteries; unilateral or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93882", "description": "Duplex scan of extracranial arteries; unilateral or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bleomycin sulfate, 15 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9040", "description": "Injection, bleomycin sulfate, 15 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73706", "description": "Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95830", "description": "Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; humerus, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73060", "description": "Radiologic examination; humerus, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sugars, chromatographic, TLC or paper chromatography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84375", "description": "Sugars, chromatographic, TLC or paper chromatography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1381.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASCENDION PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4390", "description": "ASCENDION PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43282", "description": "Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2930.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94004", "description": "Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28737", "description": "Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1104.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial laryngectomy (hemilaryngectomy); laterovertical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31375", "description": "Partial laryngectomy (hemilaryngectomy); laterovertical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3043.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99378", "description": "SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27416", "description": "Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1621.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87273", "description": "Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular, (myodisc), per lens, trifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2315", "description": "Lenticular, (myodisc), per lens, trifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81252", "description": "GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87652", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IA NZMTC ACTV OTH/THN VIRUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87905", "description": "IA NZMTC ACTV OTH/THN VIRUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, suboccipital; for section of 1 or more cranial nerves", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61460", "description": "Craniectomy, suboccipital; for section of 1 or more cranial nerves", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3885.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Matrix Protein 22 (NMP22), qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86386", "description": "Nuclear Matrix Protein 22 (NMP22), qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Underarm pad, crutch, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4635", "description": "Underarm pad, crutch, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MIROTRACT MATRIX SHEET", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2029", "description": "MIROTRACT MATRIX SHEET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osmolality; urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83935", "description": "Osmolality; urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Busulfan, oral, 2 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8510", "description": "Busulfan, oral, 2 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97610", "description": "Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC FPVT ANGIO CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37265", "description": "REVSC EVSC FPVT ANGIO CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 876.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19368", "description": "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3363.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43338", "description": "Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pinworm exam (eg, cellophane tape prep)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87172", "description": "Pinworm exam (eg, cellophane tape prep)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMP ARM SLV CUST MED WEIGHT EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6576", "description": "GRAD CMP ARM SLV CUST MED WEIGHT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin (Hgb), quantitative, transcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88738", "description": "Hemoglobin (Hgb), quantitative, transcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholesterol, serum or whole blood, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82465", "description": "Cholesterol, serum or whole blood, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87521", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ USTEKINUMAB KFCE YESINTEK 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5100", "description": "INJ USTEKINUMAB KFCE YESINTEK 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Slitting of prepuce, dorsal or lateral (separate procedure); except newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54001", "description": "Slitting of prepuce, dorsal or lateral (separate procedure); except newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fixed, adjustable height armrest, pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0020", "description": "Fixed, adjustable height armrest, pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of syndactyly (web finger) each web space; with skin flaps and grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26561", "description": "Repair of syndactyly (web finger) each web space; with skin flaps and grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1697.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "E-GRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4318", "description": "E-GRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG W/LAT RLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29873", "description": "ARTHRS KNEE SURG W/LAT RLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 933.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arformoterol, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 15 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7605", "description": "Arformoterol, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 15 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81236", "description": "EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0961", "description": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47490", "description": "CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHLMY TRCH&NEISRA GONOR MULT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87494", "description": "CHLMY TRCH&NEISRA GONOR MULT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML C ATHRC 1 ART /BR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92924", "description": "PRQ TRLUML C ATHRC 1 ART /BR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 852.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2271.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, surgical; synovectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29835", "description": "Arthroscopy, elbow, surgical; synovectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 873.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antirollback device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0974", "description": "Manual wheelchair accessory, antirollback device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nuclear Matrix Protein 22 (NMP22), qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86386", "description": "Nuclear Matrix Protein 22 (NMP22), qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38555", "description": "Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1794.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50693", "description": "PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35703", "description": "EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 690.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9004", "description": "Parenteral nutrition infusion pump, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4200.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96165", "description": "HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of catheter, right heart or main pulmonary artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36013", "description": "Introduction of catheter, right heart or main pulmonary artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43238", "description": "EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 353.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYGNUS DISK PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4362", "description": "CYGNUS DISK PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urobilinogen, urine; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84578", "description": "Urobilinogen, urine; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 57.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin for administration through DME (i.e., insulin pump) per 50 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1817", "description": "Insulin for administration through DME (i.e., insulin pump) per 50 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62148", "description": "Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 99.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82495", "description": "Chromium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33620", "description": "Application of right and left pulmonary artery bands (eg, hybrid approach stage 1)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2805.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2033F", "description": "EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81202", "description": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 420.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oophorectomy, partial or total, unilateral or bilateral;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58940", "description": "Oophorectomy, partial or total, unilateral or bilateral;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 924.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGT GNTYP ALYS SARSCOV2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87913", "description": "NFCT AGT GNTYP ALYS SARSCOV2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, quantitative; CA 19-9", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86301", "description": "Immunoassay for tumor antigen, quantitative; CA 19-9", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 954.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, fungi, definitive identification, each organism; mold", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87107", "description": "Culture, fungi, definitive identification, each organism; mold", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87555", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous determinations", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0328", "description": "Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous determinations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5590.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNION BIO/AXOBIOMEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4211", "description": "AMNION BIO/AXOBIOMEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33615", "description": "RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3415.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35585", "description": "In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2761.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, belimumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0490", "description": "Injection, belimumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90687", "description": "Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87491", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluconazole, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1450", "description": "Injection, fluconazole, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; VLDL cholesterol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83719", "description": "Lipoprotein, direct measurement; VLDL cholesterol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76828", "description": "Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68816", "description": "Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology treatment planning; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77261", "description": "Therapeutic radiology treatment planning; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MAPLE SYRUP UR DS MNTR QUAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0381U", "description": "MAPLE SYRUP UR DS MNTR QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with biopsy; hip joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27052", "description": "Arthrotomy, with biopsy; hip joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 998.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Determination of venous pressure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93770", "description": "Determination of venous pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13120", "description": "Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37244", "description": "VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 976.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2213", "description": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 755.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Major reconstruction, chest wall (posttraumatic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32820", "description": "Major reconstruction, chest wall (posttraumatic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2389.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38571", "description": "Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1046.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81535", "description": "ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biotinidase, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82261", "description": "Biotinidase, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81361", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 285.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridectomy, with corneoscleral or corneal section; for removal of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66600", "description": "Iridectomy, with corneoscleral or corneal section; for removal of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1375.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81174", "description": "AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, positron emission tomography (PET); perfusion evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78609", "description": "Brain imaging, positron emission tomography (PET); perfusion evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dry pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0184", "description": "Dry pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7508", "description": "Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96368", "description": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0560", "description": "Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61583", "description": "CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5493.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAV INF MON ANTI SEC DO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0236", "description": "INTRAV INF MON ANTI SEC DO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2088", "description": "OFF-BASED TX OUD;EA ADD 30 MIN BYD 1ST 120 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72083", "description": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47555", "description": "Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 522.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS SURG PRST8ECT RPBIC RAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55866", "description": "LAPS SURG PRST8ECT RPBIC RAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1887.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BZ HOSPIRA NO TX EQ J9041 0.1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9049", "description": "INJ BZ HOSPIRA NO TX EQ J9041 0.1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74170", "description": "Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, symphysis pubis (including obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27282", "description": "Arthrodesis, symphysis pubis (including obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1443.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93583", "description": "Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38115", "description": "Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2200.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV-2 AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87391", "description": "HIV-2 AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87290", "description": "Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Porphyrins, urine; quantitation and fractionation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84120", "description": "Porphyrins, urine; quantitation and fractionation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUFORM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4420", "description": "NUFORM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacles, except for aphakia; multifocal, other than bifocal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92342", "description": "Fitting of spectacles, except for aphakia; multifocal, other than bifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29904", "description": "Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Whirlpool, nonportable (built-in type)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1310", "description": "Whirlpool, nonportable (built-in type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 374.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65270", "description": "Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS B SURFACE AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87341", "description": "HEPATITIS B SURFACE AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95991", "description": "RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0289", "description": "SCOPE KNEE REMV FB/SHAV TM OTH SURG DIFF CMPRTMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACAPATCH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4325", "description": "ACAPATCH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, pelvic (nonobstetric), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76856", "description": "Ultrasound, pelvic (nonobstetric), real time with image documentation; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64783", "description": "Excision of neuroma; hand or foot, each additional nerve, except same digit (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86826", "description": "HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2649.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANCA TITER EACH ANTIBODY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86037", "description": "ANCA TITER EACH ANTIBODY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastric tamponade, with balloon (Sengstaken type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43460", "description": "Esophagogastric tamponade, with balloon (Sengstaken type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dihydrotestosterone (DHT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82642", "description": "Dihydrotestosterone (DHT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of carpal bones;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25130", "description": "Excision or curettage of bone cyst or benign tumor of carpal bones;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 769.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CEZ NOT THER EQV J0690 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0689", "description": "INJ CEZ NOT THER EQV J0690 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatase, acid; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84060", "description": "Phosphatase, acid; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; femoral-femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35558", "description": "Bypass graft, with vein; femoral-femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2016.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GLYCOPYRROLATE FRES KABI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1598", "description": "INJ GLYCOPYRROLATE FRES KABI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of ulnar styloid fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25652", "description": "Open treatment of ulnar styloid fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1057.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion (except excision), dentoalveolar structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41850", "description": "Destruction of lesion (except excision), dentoalveolar structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 422.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate; secondary lengthening procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42220", "description": "Palatoplasty for cleft palate; secondary lengthening procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81364", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, chin cup for chin control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2324", "description": "Power wheelchair accessory, chin cup for chin control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JT SPC PTHGN&RX RSIST GEN26+", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87627", "description": "JT SPC PTHGN&RX RSIST GEN26+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1019.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 907.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52325", "description": "Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 490.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Progesterone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84144", "description": "Progesterone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0440T", "description": "Ablation, percutaneous, cryoablation, includes imaging guidance; upper extremity distal/peripheral nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2212", "description": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair recurrent femoral hernia; reducible", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49555", "description": "Repair recurrent femoral hernia; reducible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1065.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of pulmonary artery stenosis by reconstruction with patch or graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33917", "description": "Repair of pulmonary artery stenosis by reconstruction with patch or graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2531.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HL NEO OPT GEN MAPPING", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0331U", "description": "ONC HL NEO OPT GEN MAPPING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2794.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, ankle; revision, total ankle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27703", "description": "Arthroplasty, ankle; revision, total ankle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1816.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED FBRL KD IFI27&MCEMP1 RNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0389U", "description": "PED FBRL KD IFI27&MCEMP1 RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87149", "description": "Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; encephalitis, Eastern equine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86652", "description": "Antibody; encephalitis, Eastern equine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, verteporfin, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3396", "description": "Injection, verteporfin, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27105", "description": "Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1459.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 832.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPL OI IMPLT SK TC ESP>=100", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69729", "description": "IMPL OI IMPLT SK TC ESP>=100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1037.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External cannula declotting (separate procedure); without balloon catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36860", "description": "External cannula declotting (separate procedure); without balloon catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, methylergonovine maleate, up to 0.2 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2210", "description": "Injection, methylergonovine maleate, up to 0.2 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL PATLLR TDN BEARING CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29435", "description": "APPL PATLLR TDN BEARING CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27257", "description": "Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81293", "description": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheotomy tube change prior to establishment of fistula tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31502", "description": "Tracheotomy tube change prior to establishment of fistula tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION DRUG DLVR IMPLANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11981", "description": "INSERTION DRUG DLVR IMPLANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99468", "description": "Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95133", "description": "PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0863", "description": "Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2778.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with biopsy (single or multiple)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49321", "description": "Laparoscopy, surgical; with biopsy (single or multiple)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 596.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32100", "description": "Thoracotomy; with exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1413.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FEM URINARY CUP W/WO ATTCH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4318", "description": "FEM URINARY CUP W/WO ATTCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD CMP STK BLW KNEE 30-40MM HG SRG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6531", "description": "GRD CMP STK BLW KNEE 30-40MM HG SRG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DAXIBOTULINUMTOXINA-LANM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0589", "description": "INJ DAXIBOTULINUMTOXINA-LANM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52330", "description": "Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 402.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50389", "description": "Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90947", "description": "DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81291", "description": "MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURF RAD THR ORTHVLT>150-500", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77438", "description": "SURF RAD THR ORTHVLT>150-500", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33969", "description": "ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "W/C MANUAL SWINGAWAY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1028", "description": "W/C MANUAL SWINGAWAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22207", "description": "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4091.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPPL&ACC EXT UPPR LIMB TREMOR STIM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4542", "description": "SUPPL&ACC EXT UPPR LIMB TREMOR STIM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 790.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61215", "description": "Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1038.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0481", "description": "DRUG TEST DEFINITV DR ID METH P DAY 8-14 DRUG CL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31526", "description": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SGD ACCESSORY EMG SENSOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2513", "description": "SGD ACCESSORY EMG SENSOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 673.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58558", "description": "Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 363.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71111", "description": "Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Methemalbumin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83857", "description": "Methemalbumin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2608", "description": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy, with insertion of ureteral catheter or stent (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51045", "description": "Cystotomy, with insertion of ureteral catheter or stent (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 807.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deligation of ureter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50940", "description": "Deligation of ureter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1397.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2387", "description": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOTAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4330", "description": "TOTAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; cutaneous nerve, surgically identifiable", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64774", "description": "Excision of neuroma; cutaneous nerve, surgically identifiable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 738.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of female urethra, general or conduction (spinal) anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53665", "description": "Dilation of female urethra, general or conduction (spinal) anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 618.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32608", "description": "Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 643.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87517", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Normal, low, and high calibrator solution/chips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4256", "description": "Normal, low, and high calibrator solution/chips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5025.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAREPATCH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4236", "description": "CAREPATCH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27392", "description": "Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1209.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63283", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3544.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY INFLIXIMAB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80230", "description": "DRUG ASSAY INFLIXIMAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81261", "description": "IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound filler, paste, sterile, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6240", "description": "Hydrocolloid dressing, wound filler, paste, sterile, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIXPRESS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4361", "description": "EPIXPRESS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVACUATION SUBUNGUAL HMTMA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11740", "description": "EVACUATION SUBUNGUAL HMTMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57423", "description": "Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1455.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Maxillary impression for palatal prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42280", "description": "Maxillary impression for palatal prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48140", "description": "Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2652.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbital implant (implant outside muscle cone); removal or revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67560", "description": "Orbital implant (implant outside muscle cone); removal or revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1701.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93005", "description": "Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ HOSPITAL CARE/DAY 25 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99232", "description": "SBSQ HOSPITAL CARE/DAY 25 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BASIC METABLC PNL IONIZED CA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80047", "description": "BASIC METABLC PNL IONIZED CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter, nondisposable, used with aerosol compressor or ultrasonic generator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7014", "description": "Filter, nondisposable, used with aerosol compressor or ultrasonic generator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, standard, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0275", "description": "Bed pan, standard, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM W/CORDOTOMY 1STG THRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63197", "description": "LAM W/CORDOTOMY 1STG THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3187.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX HUM FX W/NTRCNDYLR XTN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24546", "description": "OPTX HUM FX W/NTRCNDYLR XTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1710.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of palmar bursa; single, bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26025", "description": "Drainage of palmar bursa; single, bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 723.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55815", "description": "Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2726.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66821", "description": "Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 478.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50948", "description": "Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1973.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0858", "description": "Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1944.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58550", "description": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1398.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC NSCLC DNA&RNA DPCR 9GENS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0478U", "description": "ONC NSCLC DNA&RNA DPCR 9GENS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 829.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of pacemaker pulse generator only; with existing single lead", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33212", "description": "Insertion of pacemaker pulse generator only; with existing single lead", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 529.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osmolality; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83930", "description": "Osmolality; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of urethrocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57230", "description": "Plastic repair of urethrocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2110", "description": "Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of ganglion, wrist (dorsal or volar); primary", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25111", "description": "Excision of ganglion, wrist (dorsal or volar); primary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93591", "description": "Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1276.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGSAP HL NEO 5-50 RNA ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81451", "description": "TGSAP HL NEO 5-50 RNA ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1139.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pericardiectomy, subtotal or complete; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33031", "description": "Pericardiectomy, subtotal or complete; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4212.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngeal reinnervation by neuromuscular pedicle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31590", "description": "Laryngeal reinnervation by neuromuscular pedicle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1562.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32668", "description": "Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ALLOPURINOL SODIUM 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0206", "description": "INJECTION ALLOPURINOL SODIUM 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BRIXADI MORE THAN 7 DAY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0578", "description": "INJ BRIXADI MORE THAN 7 DAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2361.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 837.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88367", "description": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; initial single probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0692", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasoethmoid fracture; with external fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21339", "description": "Open treatment of nasoethmoid fracture; with external fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1237.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78433", "description": "MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3476.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93317", "description": "Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19364", "description": "Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4231.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54135", "description": "Amputation of penis, radical; in continuity with bilateral pelvic lymphadenectomy, including external iliac, hypogastric and obturator nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2344.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2217", "description": "Manual wheelchair accessory, foam filled caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUBQ NJX FILLING MATRL 1CC/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11950", "description": "SUBQ NJX FILLING MATRL 1CC/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44379", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 621.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36247", "description": "Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 457.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 220.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0838", "description": "Power wheelchair, group 2 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20697", "description": "XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3408.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49446", "description": "Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43279", "description": "Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2191.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, estradiol valerate, up to 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1380", "description": "Injection, estradiol valerate, up to 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 409.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 443.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0808", "description": "Power operated vehicle, group 2 very heavy-duty, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 628.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rollabout chair, any and all types with castors 5 in or greater", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1031", "description": "Rollabout chair, any and all types with castors 5 in or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33234", "description": "Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 777.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11105", "description": "Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33986", "description": "ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 870.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of presacral or sacrococcygeal tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49215", "description": "Excision of presacral or sacrococcygeal tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3612.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96573", "description": "PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 385.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Citrate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82507", "description": "Citrate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33951", "description": "ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53854", "description": "Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 620.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRINC ILLNESS NV-PEER SUP 60MIN/MON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0140", "description": "PRINC ILLNESS NV-PEER SUP 60MIN/MON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ALYGLO 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1552", "description": "INJ ALYGLO 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm cast, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4006", "description": "Cast supplies, long arm cast, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT BILE DUCT STENT PRQ EXISTING ACCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47538", "description": "PLMT BILE DUCT STENT PRQ EXISTING ACCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 348.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, oxaliplatin, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9263", "description": "Injection, oxaliplatin, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0116", "description": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44055", "description": "Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2512.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95955", "description": "Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85025", "description": "Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFLUENZA A/B EACH AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87400", "description": "INFLUENZA A/B EACH AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90756", "description": "Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, wrist, with or without interposition, with or without external or internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25332", "description": "Arthroplasty, wrist, with or without interposition, with or without external or internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1384.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION GLOFITAMAB-GXBM 2.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9286", "description": "INJECTION GLOFITAMAB-GXBM 2.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4019.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1566", "description": "Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2206", "description": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, cervical; 4 or 5 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72050", "description": "Radiologic examination, spine, cervical; 4 or 5 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM CFCDNA TGSAP 84", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0487U", "description": "ONC SOL TUM CFCDNA TGSAP 84", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64520", "description": "Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M EST PT 40 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0668", "description": "TEAM REMOTE E/M EST PT 40 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanolysis, transcanal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69450", "description": "Tympanolysis, transcanal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 878.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0880", "description": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73219", "description": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81507", "description": "Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75574", "description": "CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 384.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of tracheal wound or injury; intrathoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31805", "description": "Suture of tracheal wound or injury; intrathoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1445.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTJACKET PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4107", "description": "GRAFTJACKET PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSANAL IRRIGATION ANY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4459", "description": "TRANSANAL IRRIGATION ANY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRONCHOSCOPY BALLOON OCCLUSION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31634", "description": "BRONCHOSCOPY BALLOON OCCLUSION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54231", "description": "Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93279", "description": "Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, 2 or more columns/groups;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46260", "description": "Hemorrhoidectomy, internal and external, 2 or more columns/groups;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 859.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2601", "description": "General use wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX CONTACT CORNEOSCLERAL LENS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92317", "description": "RX CONTACT CORNEOSCLERAL LENS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63664", "description": "Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1648.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical peel, facial; epidermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15788", "description": "Chemical peel, facial; epidermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG ILIORENAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35634", "description": "BPG ILIORENAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2943.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery, recession or resection procedure; 2 horizontal muscles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67312", "description": "Strabismus surgery, recession or resection procedure; 2 horizontal muscles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39402", "description": "Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interactive complexity (List separately in addition to the code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90785", "description": "Interactive complexity (List separately in addition to the code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FY GNOTYP ACKR1 EXONS 1-2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0187U", "description": "FY GNOTYP ACKR1 EXONS 1-2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Augmentation, mandibular body or angle; prosthetic material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21125", "description": "Augmentation, mandibular body or angle; prosthetic material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1054.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbital implant (implant outside muscle cone); insertion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67550", "description": "Orbital implant (implant outside muscle cone); insertion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1665.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphatics and lymph nodes imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78195", "description": "Lymphatics and lymph nodes imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11312", "description": "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, disrupted ligament, ankle; both collateral ligaments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27696", "description": "Repair, primary, disrupted ligament, ankle; both collateral ligaments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 895.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, toe, macrodactyly; requiring bone resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28341", "description": "Reconstruction, toe, macrodactyly; requiring bone resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 774.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1120.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43325", "description": "Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2329.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION BROLUCIZUMAB-DBLL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0179", "description": "INJECTION BROLUCIZUMAB-DBLL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 499.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lithotripsy, extracorporeal shock wave", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50590", "description": "Lithotripsy, extracorporeal shock wave", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 910.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracavitary radiation source application; intermediate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77762", "description": "Intracavitary radiation source application; intermediate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 459.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated lancing/blood sample", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2101", "description": "Blood glucose monitor with integrated lancing/blood sample", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12007", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0801", "description": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2749.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22100", "description": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1857.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, partial; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51550", "description": "Cystectomy, partial; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1532.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27881", "description": "Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1377.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolytic factors and inhibitors; plasminogen activator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85415", "description": "Fibrinolytic factors and inhibitors; plasminogen activator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC TPVT ST CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37287", "description": "REVSC EVASC TPVT ST CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumonostomy, with open drainage of abscess or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32200", "description": "Pneumonostomy, with open drainage of abscess or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2016.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulse generator system for tympanic treatment of inner ear endolymphatic fluid", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2120", "description": "Pulse generator system for tympanic treatment of inner ear endolymphatic fluid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 606.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33684", "description": "Closure of single ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3212.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD LAT XTRCVTRY TQ EA AD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22534", "description": "ARTHRD LAT XTRCVTRY TQ EA AD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 604.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68811", "description": "Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86008", "description": "Allergen specific IgE; quantitative or semiquantitative, recombinant or purified component, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In-situ vein bypass; popliteal-tibial, peroneal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35587", "description": "In-situ vein bypass; popliteal-tibial, peroneal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2220.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MARIGEN PACTO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2038", "description": "MARIGEN PACTO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 668.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INC DP BONE CRTX F/ARM /WRST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25035", "description": "INC DP BONE CRTX F/ARM /WRST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1011.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2384", "description": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN TX ANT PELV BONE FX &/ DISLOC UNI/BIL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0414", "description": "OPN TX ANT PELV BONE FX &/ DISLOC UNI/BIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1660.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63286", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4734.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93260", "description": "PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Harvesting conjunctival allograft, living donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68371", "description": "Harvesting conjunctival allograft, living donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 622.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30465", "description": "Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1630.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft with microvascular anastomosis; iliac crest", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20956", "description": "Bone graft with microvascular anastomosis; iliac crest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4236.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dactinomycin, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9120", "description": "Injection, dactinomycin, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 477.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEXMETHASONE SUPPRESSION PANEL 48 HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80420", "description": "DEXMETHASONE SUPPRESSION PANEL 48 HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92979", "description": "ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27122", "description": "Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1815.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20930", "description": "Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 384.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7626", "description": "Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel or elbow protector, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0191", "description": "Heel or elbow protector, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50240", "description": "Nephrectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2082.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL BDY CST SHO TO HIP 1THI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29044", "description": "APPL BDY CST SHO TO HIP 1THI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pentazocine, 30 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3070", "description": "Injection, pentazocine, 30 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric acid analysis, includes pH if performed, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82930", "description": "Gastric acid analysis, includes pH if performed, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95921", "description": "TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53400", "description": "Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1265.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 extra heavy-duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0840", "description": "Power wheelchair, group 2 extra heavy-duty, single power option, sling/solid seat/back, patient weight capacity 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1763.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20555", "description": "Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 477.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical exfoliation for acne (eg, acne paste, acid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17360", "description": "Chemical exfoliation for acne (eg, acne paste, acid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAMMAGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4111", "description": "GAMMAGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; protozoa, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86753", "description": "Antibody; protozoa, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2213", "description": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prolactin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84146", "description": "Prolactin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemi-wheelchair, fixed full-length arms, swing-away detachable elevating legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1083", "description": "Hemi-wheelchair, fixed full-length arms, swing-away detachable elevating legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, caval, superior, with serialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75827", "description": "Venography, caval, superior, with serialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77022", "description": "Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, forearm crutch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0153", "description": "Platform attachment, forearm crutch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86331", "description": "Immunodiffusion; gel diffusion, qualitative (Ouchterlony), each antigen or antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59856", "description": "INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36011", "description": "Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2023F", "description": "DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0890", "description": "Traction frame, attached to footboard, pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81270", "description": "JAK2 (Janus kinase 2) (eg, myeloproliferative disorder) gene analysis, p.Val617Phe (V617F) variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0036U", "description": "Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and normal specimen, sequence analyses", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital discharge day management; 30 minutes or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99238", "description": "Hospital discharge day management; 30 minutes or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63090", "description": "VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3352.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50706", "description": "BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of other spinal nerve, extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64772", "description": "Transection or avulsion of other spinal nerve, extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 920.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTEGRA BMWD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4104", "description": "INTEGRA BMWD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69635", "description": "Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); without ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2092.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ SACITUZUMB GOVITECN-HZIY 2.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9317", "description": "INJ SACITUZUMB GOVITECN-HZIY 2.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, terbutaline sulfate, up to 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3105", "description": "Injection, terbutaline sulfate, up to 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arytenoidectomy or arytenoidopexy, external approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31400", "description": "Arytenoidectomy or arytenoidopexy, external approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1649.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13122", "description": "Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32669", "description": "Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2310.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with biopsy; metatarsophalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28052", "description": "Arthrotomy with biopsy; metatarsophalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 419.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with synovectomy, ankle;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27625", "description": "Arthrotomy, with synovectomy, ankle;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 970.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ethosuximide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80168", "description": "Ethosuximide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29823", "description": "Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1000.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, single, each digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26060", "description": "Tenotomy, percutaneous, single, each digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 431.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolysins or coagulopathy screen, interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85390", "description": "Fibrinolysins or coagulopathy screen, interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93660", "description": "CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of esophagostomy or fistula; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43420", "description": "Closure of esophagostomy or fistula; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1544.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0239", "description": "Hydrocollator unit, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.75, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continent device; catheter for continent stoma", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5082", "description": "Continent device; catheter for continent stoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51580", "description": "Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2934.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76881", "description": "Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27244", "description": "Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2014.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FIXED WING AIR TRANSPORT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0430", "description": "FIXED WING AIR TRANSPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6339.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 363.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49322", "description": "Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 644.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9444.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33800", "description": "Aortic suspension (aortopexy) for tracheal decompression (eg, for tracheomalacia) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1706.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phalangectomy, toe, each toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28150", "description": "Phalangectomy, toe, each toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg extensions for walker, per set of 4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0158", "description": "Leg extensions for walker, per set of 4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90672", "description": "Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34830", "description": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; tube prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2934.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, arm through humerus; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24930", "description": "Amputation, arm through humerus; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1297.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cadmium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82300", "description": "Cadmium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of post hip arthroplasty dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27265", "description": "Closed treatment of post hip arthroplasty dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 889.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cross-over vein graft to venous system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34520", "description": "Cross-over vein graft to venous system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1653.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hematopoietic progenitor cell (HPC); autologous transplantation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38241", "description": "Hematopoietic progenitor cell (HPC); autologous transplantation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 254.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV PREP ORAL LENACAPAVIR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0752", "description": "HIV PREP ORAL LENACAPAVIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 880.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respiratory motion management simulation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77293", "description": "Respiratory motion management simulation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 531.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EPINEPHRINE BPI NT EQ J0165 0.1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0166", "description": "INJ EPINEPHRINE BPI NT EQ J0165 0.1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55535", "description": "Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 696.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0047", "description": "Elevating legrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpopexy, abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57280", "description": "Colpopexy, abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1515.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 916.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS XOM DNA ALYS EA COMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0215U", "description": "RARE DS XOM DNA ALYS EA COMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3861.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; 3 coronary venous grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33512", "description": "Coronary artery bypass, vein only; 3 coronary venous grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4111.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63082", "description": "VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complement; functional activity, each component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86161", "description": "Complement; functional activity, each component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 203.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percussor, electric or pneumatic, home model", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0480", "description": "Percussor, electric or pneumatic, home model", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Artificial insemination; intra-uterine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58322", "description": "Artificial insemination; intra-uterine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; blood smear, microscopic examination without manual differential WBC count", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85008", "description": "Blood count; blood smear, microscopic examination without manual differential WBC count", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 948.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lubricant, individual sterile packet, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4332", "description": "Lubricant, individual sterile packet, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2323", "description": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72158", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 380.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0420", "description": "Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51585", "description": "CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3256.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oscillating tracking test, with recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92545", "description": "Oscillating tracking test, with recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64494", "description": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0112", "description": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IQ TESTS W/ALLERGENIC XTRCS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95024", "description": "IQ TESTS W/ALLERGENIC XTRCS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81163", "description": "BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO INH ATAXIA DNA 51 GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0217U", "description": "NEURO INH ATAXIA DNA 51 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3297.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, durvalumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9173", "description": "Injection, durvalumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3877.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION THIOTEPA TEPYLUTE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9341", "description": "INJECTION THIOTEPA TEPYLUTE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AI PSOR MRNA 50-100 GEN ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0258U", "description": "AI PSOR MRNA 50-100 GEN ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5512.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30460", "description": "Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29867", "description": "Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2118.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, caval, inferior, with serialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75825", "description": "Venography, caval, inferior, with serialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PYELOPLASTY COMPLICATED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50405", "description": "PYELOPLASTY COMPLICATED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2168.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13102", "description": "Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of transvenous pacemaker electrode(s); dual lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33235", "description": "Removal of transvenous pacemaker electrode(s); dual lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1028.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT HIP EXPL/RMV LOOSE/FB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27033", "description": "ARTHRT HIP EXPL/RMV LOOSE/FB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1604.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH CKD MULT ECLIA TUM NEC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0105U", "description": "NEPH CKD MULT ECLIA TUM NEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1425.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87651", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; quantitative colony count, urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87086", "description": "Culture, bacterial; quantitative colony count, urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2362", "description": "Power wheelchair accessory, group 24 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation of spine requiring anesthesia, any region", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22505", "description": "Manipulation of spine requiring anesthesia, any region", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, suboccipital; for exploration or decompression of cranial nerves", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61458", "description": "Craniectomy, suboccipital; for exploration or decompression of cranial nerves", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3721.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41017", "description": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 565.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96366", "description": "Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1250.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3104.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88331", "description": "Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous catheter/tube anchoring device, adhesive skin attachment", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5200", "description": "Percutaneous catheter/tube anchoring device, adhesive skin attachment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2228", "description": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rheumatoid factor; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86430", "description": "Rheumatoid factor; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36474", "description": "ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95706", "description": "EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, upper extremity, with or without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73225", "description": "Magnetic resonance angiography, upper extremity, with or without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 439.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; by copper sulfate method, non-automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83026", "description": "Hemoglobin; by copper sulfate method, non-automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TRILACICLIB 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1448", "description": "INJECTION TRILACICLIB 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX METATARSAL FX W/MNPJ EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28475", "description": "CLTX METATARSAL FX W/MNPJ EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 395.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFLUENZA ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87804", "description": "INFLUENZA ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg splint, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4043", "description": "Cast supplies, long leg splint, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft for facial nerve paralysis; free muscle flap by microsurgical technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15842", "description": "Graft for facial nerve paralysis; free muscle flap by microsurgical technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4214.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVE SPINE LAMINA 1/2 CRVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63001", "description": "REMOVE SPINE LAMINA 1/2 CRVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2237.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55300", "description": "Vasotomy for vasograms, seminal vesiculograms, or epididymograms, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLML C ATHRC ST ANGIOP1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92933", "description": "PRQ TRLML C ATHRC ST ANGIOP1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1005.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of interphalangeal joint dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28660", "description": "Closed treatment of interphalangeal joint dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42415", "description": "Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1620.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urography, antegrade, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74425", "description": "Urography, antegrade, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81257", "description": "HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL NURSING FACILITY CARE/DAY 25 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99304", "description": "INITIAL NURSING FACILITY CARE/DAY 25 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27137", "description": "Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2369.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Regulator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1353", "description": "Regulator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pentostatin, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9268", "description": "Injection, pentostatin, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3716.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0122U", "description": "Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 789.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9507", "description": "Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2462.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transport chair, pediatric size", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1037", "description": "Transport chair, pediatric size", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TBS DXA CAL W/I&R FX RISK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77089", "description": "TBS DXA CAL W/I&R FX RISK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, siltuximab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2860", "description": "Injection, siltuximab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50830", "description": "Urinary undiversion (eg, taking down of ureteroileal conduit, ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2786.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of constricting ring of finger, with multiple Z-plasties", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26596", "description": "Excision of constricting ring of finger, with multiple Z-plasties", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1421.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99451", "description": "NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15576", "description": "Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 985.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial thyroid lobectomy, unilateral; with or without isthmusectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60210", "description": "Partial thyroid lobectomy, unilateral; with or without isthmusectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1162.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII, (antihemophilic factor, recombinant), (Nuwiq), 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7209", "description": "Injection, factor VIII, (antihemophilic factor, recombinant), (Nuwiq), 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, trifocal, plano to plus or minus 4.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2300", "description": "Sphere, trifocal, plano to plus or minus 4.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 213.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57065", "description": "Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 294.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81003", "description": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tongue without closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41110", "description": "Excision of lesion of tongue without closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70390", "description": "Sialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with internal urethrotomy; male", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52275", "description": "Cystourethroscopy, with internal urethrotomy; male", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 381.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87633", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of rectal stricture (separate procedure) under anesthesia other than local", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45910", "description": "Dilation of rectal stricture (separate procedure) under anesthesia other than local", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6245", "description": "Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0160", "description": "Sitz type bath or equipment, portable, used with or without commode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62100", "description": "Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2702.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSL LYUMJEV ADM THRU DME PER 50 U", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1813", "description": "INSL LYUMJEV ADM THRU DME PER 50 U", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRETECT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4438", "description": "PRETECT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phencyclidine (PCP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83992", "description": "Phencyclidine (PCP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, primary; including major septal repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30420", "description": "Rhinoplasty, primary; including major septal repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2320.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; spun microhematocrit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85013", "description": "Blood count; spun microhematocrit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 95.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97165", "description": "OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80305", "description": "DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MANTLE DL MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4349", "description": "MANTLE DL MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, azacitidine, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9025", "description": "Injection, azacitidine, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography, thoracic, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72255", "description": "Myelography, thoracic, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 26783.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71551", "description": "Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 521.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99282", "description": "EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2605", "description": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22216", "description": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 594.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 618.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "b-Hexosaminidase, each assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83080", "description": "b-Hexosaminidase, each assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64555", "description": "Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 508.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEGFILGRASTIM-APGF BS 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5122", "description": "INJ PEGFILGRASTIM-APGF BS 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition supply kit; home mix, per day", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4222", "description": "Parenteral nutrition supply kit; home mix, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Triiodothyronine T3; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84481", "description": "Triiodothyronine T3; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, radial head; with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24366", "description": "Arthroplasty, radial head; with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1137.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BCT/VIR 32GENES MRNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0588U", "description": "NFCT DS BCT/VIR 32GENES MRNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, intra-arterial; push technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96420", "description": "Chemotherapy administration, intra-arterial; push technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99204", "description": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48100", "description": "Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1536.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of sternoclavicular dislocation; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23525", "description": "Closed treatment of sternoclavicular dislocation; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41016", "description": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO TRURL RESCJ EJACUL DUX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52402", "description": "CYSTO TRURL RESCJ EJACUL DUX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, agalsidase beta, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0180", "description": "Injection, agalsidase beta, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3479.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of artificial vagina; with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57292", "description": "Construction of artificial vagina; with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1299.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vanillylmandelic acid (VMA), urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84585", "description": "Vanillylmandelic acid (VMA), urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4331", "description": "Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33864", "description": "ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5406.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture of orbit, except blowout; with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21407", "description": "Open treatment of fracture of orbit, except blowout; with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1015.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, thigh, through femur, any level; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27596", "description": "Amputation, thigh, through femur, any level; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1196.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UNRELAT PRAC FOLLOW UP VISIT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0559", "description": "UNRELAT PRAC FOLLOW UP VISIT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GLYCOPYRROLATE GLYRX-PF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1597", "description": "INJ GLYCOPYRROLATE GLYRX-PF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73720", "description": "Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 421.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1466.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special height arms for wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1227", "description": "Special height arms for wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63305", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4594.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54304", "description": "Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1180.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, mandible; complete, minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70110", "description": "Radiologic examination, mandible; complete, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92235", "description": "Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 215.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61538", "description": "Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4840.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11424", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 291.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, with skin flap closure;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15934", "description": "Excision, sacral pressure ulcer, with skin flap closure;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1584.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS WHLGEN&MITOCHDRL DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0532U", "description": "RARE DS WHLGEN&MITOCHDRL DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7546.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroidectomy or exploration of parathyroid(s);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60500", "description": "Parathyroidectomy or exploration of parathyroid(s);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1608.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52630", "description": "TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34490", "description": "Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 965.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy accessory; convex insert", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5093", "description": "Ostomy accessory; convex insert", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligamentous reconstruction (augmentation), knee; intra-articular (open)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27428", "description": "Ligamentous reconstruction (augmentation), knee; intra-articular (open)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1868.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33814", "description": "Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2641.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0069", "description": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phenytoin; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80186", "description": "Phenytoin; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43112", "description": "TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5836.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCL LAA THRSCP ANY METHOD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33269", "description": "EXCL LAA THRSCP ANY METHOD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1448.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44376", "description": "ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL HOSPITAL CARE/DAY 70 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99223", "description": "INITIAL HOSPITAL CARE/DAY 70 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carbamazepine; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80157", "description": "Carbamazepine; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; transection of vagus nerves, selective or highly selective", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43652", "description": "Laparoscopy, surgical; transection of vagus nerves, selective or highly selective", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1338.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADVANCE CARE PLANNING EA ADDL 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99498", "description": "ADVANCE CARE PLANNING EA ADDL 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of posterior malleolus fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27769", "description": "Open treatment of posterior malleolus fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1209.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal, implantable contraceptive capsules", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11976", "description": "Removal, implantable contraceptive capsules", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SANOGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4319", "description": "SANOGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FVIII/VWD FA CMPLX R Q FVIII IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7214", "description": "INJ FVIII/VWD FA CMPLX R Q FVIII IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, toe(s); polydactyly", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28344", "description": "Reconstruction, toe(s); polydactyly", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 456.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4424", "description": "Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pegaspargase, per single dose vial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9266", "description": "Injection, pegaspargase, per single dose vial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40222.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4239.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1113.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87493", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95120", "description": "PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26236", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 754.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MCHNL SCLP COOL MEAS FITG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97007", "description": "MCHNL SCLP COOL MEAS FITG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3024.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34201", "description": "Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1696.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS 22 TRGT SARS-COV-2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0202U", "description": "NFCT DS 22 TRGT SARS-COV-2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27752", "description": "Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 899.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Leishmania", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86717", "description": "Antibody; Leishmania", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MORPHINE FRESENIUS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2272", "description": "INJ MORPHINE FRESENIUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implanted material, posterior segment; extraocular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67120", "description": "Removal of implanted material, posterior segment; extraocular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 823.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAUZE IMPREG NOT H2O SALINE/HYDRGEL >16 16 60 HR<84 HR W/VEEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95724", "description": "EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4409", "description": "Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 in or smaller, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0506", "description": "Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1539.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN MLNMA MRNA 35 GENE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0314U", "description": "ONC CUTAN MLNMA MRNA 35 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72142", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 341.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, complete excision; other metatarsal head (second, third or fourth)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28112", "description": "Ostectomy, complete excision; other metatarsal head (second, third or fourth)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 517.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66830", "description": "RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1042.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93609", "description": "INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, galsulfase, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1458", "description": "Injection, galsulfase, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99360", "description": "Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54416", "description": "Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1144.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99212", "description": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of subcutaneous implantable defibrillator electrode", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33272", "description": "Removal of subcutaneous implantable defibrillator electrode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 561.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27724", "description": "Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2038.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOVANCE PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4154", "description": "BIOVANCE PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 547.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2627", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81301", "description": "MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 522.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacle mounted low vision aid; telescopic or other compound lens system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92355", "description": "Fitting of spectacle mounted low vision aid; telescopic or other compound lens system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67331", "description": "Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX MONTEGGIA FX DISLC ELBW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24620", "description": "CLTX MONTEGGIA FX DISLC ELBW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1018.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99467", "description": "CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER RX MNTR MEDS P/D/A 110+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0519U", "description": "THER RX MNTR MEDS P/D/A 110+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer device, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0705", "description": "Transfer device, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 44265.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17284", "description": "DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of metacarpal;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26200", "description": "Excision or curettage of bone cyst or benign tumor of metacarpal;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 767.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33853", "description": "Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3154.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21330", "description": "Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 866.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 41.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17274", "description": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0003U", "description": "ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1425.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33215", "description": "Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 498.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFRTII W/B1 GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21151", "description": "RCNSTJ MDFC LEFRTII W/B1 GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2732.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of Skene's gland abscess or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53060", "description": "Drainage of Skene's gland abscess or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0161", "description": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15836", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1299.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, clavicle, with or without internal fixation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23480", "description": "Osteotomy, clavicle, with or without internal fixation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1372.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of 1 nerve; median motor thenar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64835", "description": "Suture of 1 nerve; median motor thenar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1356.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27826", "description": "Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1452.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of scapular fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23570", "description": "Closed treatment of scapular fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration set, with small volume filtered pneumatic nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7006", "description": "Administration set, with small volume filtered pneumatic nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SHELTER DM MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4346", "description": "SHELTER DM MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sternal debridement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21627", "description": "Sternal debridement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1002.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salivary gland function study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78232", "description": "Salivary gland function study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroejaculation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55870", "description": "Electroejaculation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93976", "description": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft for facial nerve paralysis; regional muscle transfer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15845", "description": "Graft for facial nerve paralysis; regional muscle transfer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1725.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22862", "description": "Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4295.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81450", "description": "GEN SEQ ANALYS HEMATOLYMPHOID NEO 5-50 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1139.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33405", "description": "Replacement, aortic valve, open, with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3873.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2394", "description": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 269.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligamentous reconstruction (augmentation), knee; extra-articular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27427", "description": "Ligamentous reconstruction (augmentation), knee; extra-articular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92587", "description": "DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54318", "description": "Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1130.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1867.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75726", "description": "Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87502", "description": "INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91037", "description": "Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT CERE PRFU ALYS C+W/CT/CTA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70472", "description": "CT CERE PRFU ALYS C+W/CT/CTA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed cradle, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0280", "description": "Bed cradle, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1084.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estrone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82679", "description": "Estrone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Air pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0197", "description": "Air pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74280", "description": "RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69610", "description": "Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61313", "description": "Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3686.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44128", "description": "ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11201", "description": "Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MED PHYSIC DOS EVAL RAD EXPS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76145", "description": "MED PHYSIC DOS EVAL RAD EXPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1870.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63102", "description": "VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4056.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpal scaphoid (navicular) fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25622", "description": "Closed treatment of carpal scaphoid (navicular) fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of hydrocele of spermatic cord, unilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55500", "description": "Excision of hydrocele of spermatic cord, unilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 649.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43752", "description": "Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY NEW SF 15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98008", "description": "SYNCH AUDIO-ONLY NEW SF 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF/OP EST MAY X REQ PHY/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99211", "description": "OFF/OP EST MAY X REQ PHY/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "CS" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44721", "description": "Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 632.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ankle; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73610", "description": "Radiologic examination, ankle; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dressing change (for other than burns) under anesthesia (other than local)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15852", "description": "Dressing change (for other than burns) under anesthesia (other than local)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, risperidone (RISPERDAL CONSTA), 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2794", "description": "Injection, risperidone (RISPERDAL CONSTA), 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 179.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 57.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, tibia; with sliding graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27722", "description": "Repair of nonunion or malunion, tibia; with sliding graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1496.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD VAGUS NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64408", "description": "INJECTION AA&/STRD VAGUS NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5758.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33957", "description": "ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54056", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO NEO GSAP DNA/DNA&RNA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81459", "description": "SO NEO GSAP DNA/DNA&RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4484.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ground mileage, per statute mile", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0425", "description": "Ground mileage, per statute mile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION PICC W/RS&I < 5 YR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36572", "description": "INSERTION PICC W/RS&I < 5 YR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54415", "description": "Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 856.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy; with excision of tumor or other bone lesion of skull", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61500", "description": "Craniectomy; with excision of tumor or other bone lesion of skull", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2207.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheoplasty; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31750", "description": "Tracheoplasty; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2208.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15100", "description": "Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1181.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corrugated tubing, disposable, used with large volume nebulizer, 100 ft", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7010", "description": "Corrugated tubing, disposable, used with large volume nebulizer, 100 ft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27496", "description": "Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 952.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72191", "description": "Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 319.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22819", "description": "Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3960.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57720", "description": "Trachelorrhaphy, plastic repair of uterine cervix, vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 532.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87492", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52310", "description": "Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26116", "description": "Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 881.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33962", "description": "ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88374", "description": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), using computer-assisted technology, per specimen; each multiplex probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 404.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOPLAST 2 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4335", "description": "AMNIOPLAST 2 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH EA INCR 12-26 HR UNMONITORED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95714", "description": "VEEG BY TECH EA INCR 12-26 HR UNMONITORED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 408.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61607", "description": "Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4573.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of needle or intracatheter, aortic, translumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36160", "description": "Introduction of needle or intracatheter, aortic, translumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AFLIBERCEPT HD 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0177", "description": "INJ AFLIBERCEPT HD 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 426.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90655", "description": "Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of pancreatic calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48020", "description": "Removal of pancreatic calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2036.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpocentesis (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57020", "description": "Colpocentesis (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty; nerve of hand or foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64704", "description": "Neuroplasty; nerve of hand or foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of pancreas, percutaneous needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48102", "description": "Biopsy of pancreas, percutaneous needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28202", "description": "Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 707.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAOP NERVE CRYOABLATION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0571", "description": "INTRAOP NERVE CRYOABLATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 41.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SANOPELLIS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4308", "description": "SANOPELLIS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 529.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, belatacept, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0485", "description": "Injection, belatacept, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23491", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1684.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30802", "description": "ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Perianal fecal collection pouch with adhesive, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4330", "description": "Perianal fecal collection pouch with adhesive, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0521T", "description": "INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96105", "description": "ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; mumps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86735", "description": "Antibody; mumps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92607", "description": "Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) or trephine, infratentorial, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61253", "description": "Burr hole(s) or trephine, infratentorial, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1883.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25101", "description": "Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 700.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reopening of recent laparotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49002", "description": "Reopening of recent laparotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1772.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87593", "description": "Infectious agent detection by nucleic acid (DNA or RNA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lithium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80178", "description": "Lithium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2367", "description": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 672.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94070", "description": "Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33412", "description": "Replacement, aortic valve; with transventricular aortic annulus enlargement (Konno procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5333.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attachments for complex pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0947", "description": "Fracture frame, attachments for complex pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; iliofemoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35355", "description": "Thromboendarterectomy, including patch graft, if performed; iliofemoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1706.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21435", "description": "OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2248.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6219", "description": "Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2968.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis; tumor (eg, DNA ploidy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88358", "description": "Morphometric analysis; tumor (eg, DNA ploidy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Displacement therapy (Proetz type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30210", "description": "Displacement therapy (Proetz type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0047", "description": "Elevating legrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG HI DNS FM ROLL P/Y ANY W", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6602", "description": "GD CMP BDG HI DNS FM ROLL P/Y ANY W", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27454", "description": "Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2123.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COHEALYX COL DML MX PR SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2036", "description": "COHEALYX COL DML MX PR SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37217", "description": "TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1790.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67108", "description": "RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1709.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, head; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70544", "description": "Magnetic resonance angiography, head; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN SQ CLL CA MRNA 40", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0315U", "description": "ONC CUTAN SQ CLL CA MRNA 40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12750.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AORTOBIFEMORAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35646", "description": "BPG AORTOBIFEMORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2824.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACESSO AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4312", "description": "ACESSO AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, carpometacarpal joint, digit, other than thumb, each;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26843", "description": "Arthrodesis, carpometacarpal joint, digit, other than thumb, each;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1379.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 26156.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65730", "description": "Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1847.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23630", "description": "Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1315.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33710", "description": "Repair sinus of Valsalva fistula, with cardiopulmonary bypass; with repair of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3481.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92613", "description": "Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy ring, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4404", "description": "Ostomy ring, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myocardial resection (eg, ventricular aneurysmectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33542", "description": "Myocardial resection (eg, ventricular aneurysmectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4474.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96160", "description": "Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrument", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69637", "description": "TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2270.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilirubin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82247", "description": "Bilirubin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urobilinogen, urine; quantitative, timed specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84580", "description": "Urobilinogen, urine; quantitative, timed specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, extremity, unilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75710", "description": "Angiography, extremity, unilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 843.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48552", "description": "Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation, venous anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 388.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77387", "description": "Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49460", "description": "OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5011.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72193", "description": "Computed tomography, pelvis; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC NONSM CLL LNG CA ALYS 23", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0179U", "description": "ONC NONSM CLL LNG CA ALYS 23", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2914.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27176", "description": "Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1538.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLOSURE GASTROCOLIC FISTULA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43880", "description": "CLOSURE GASTROCOLIC FISTULA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2740.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, includes pads", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0225", "description": "Hydrocollator unit, includes pads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 830.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12055", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL BAT MODULJ SYS PG ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64659", "description": "RMVL BAT MODULJ SYS PG ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 805.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0148", "description": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2&INF TYP A&B W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87812", "description": "SARSCOV2&INF TYP A&B W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0064U", "description": "Antibody, Treponema pallidum, total and rapid plasma reagin (RPR), immunoassay, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33289", "description": "TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 510.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DARA 10 MG & HYALURONIDASE-FIHJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9144", "description": "INJ DARA 10 MG & HYALURONIDASE-FIHJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26685", "description": "Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of ureterocutaneous fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50920", "description": "Closure of ureterocutaneous fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1387.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15953", "description": "Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1637.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 305.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, abobotulinumtoxinA, 5 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0586", "description": "Injection, abobotulinumtoxinA, 5 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid stimulating hormone (TSH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84443", "description": "Thyroid stimulating hormone (TSH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, digoxin immune fab (ovine), per vial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1162", "description": "Injection, digoxin immune fab (ovine), per vial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7311.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87904", "description": "NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL LONG LEG CAST WALKER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29355", "description": "APPL LONG LEG CAST WALKER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI BARRETTS ESOPHGL CELL 89", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0506U", "description": "GI BARRETTS ESOPHGL CELL 89", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2907.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin, chorionic (hCG); free beta chain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84704", "description": "Gonadotropin, chorionic (hCG); free beta chain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99381", "description": "INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9318", "description": "INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67105", "description": "Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 410.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FOCINVEZ 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1434", "description": "INJ FOCINVEZ 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; parvovirus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86747", "description": "Antibody; parvovirus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32998", "description": "ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mucopolysaccharides, acid, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83864", "description": "Mucopolysaccharides, acid, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 43472.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0487", "description": "Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 615.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46916", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AMIODARONE NEXTERONE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0283", "description": "INJ AMIODARONE NEXTERONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORTHOPTIC TRAINING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92065", "description": "ORTHOPTIC TRAINING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0214T", "description": "NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50570", "description": "Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 749.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of liver, wedge", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47100", "description": "Biopsy of liver, wedge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1480.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33992", "description": "Removal of percutaneous left heart ventricular assist device, arterial or arterial and venous cannula(s), at separate and distinct session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43273", "description": "Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy cleaning brush, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4626", "description": "Tracheostomy cleaning brush, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2622", "description": "Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPLY ALW NONIMPL CGM 1 MO SP=1 UOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4239", "description": "SPLY ALW NONIMPL CGM 1 MO SP=1 UOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 409.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; macerated stillborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88016", "description": "Necropsy (autopsy), gross examination only; macerated stillborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 589.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with solid tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0077", "description": "Front caster assembly, complete, with solid tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or removal of cranial neurostimulator pulse generator or receiver", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61888", "description": "Revision or removal of cranial neurostimulator pulse generator or receiver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0693", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2230.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, supinator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2633", "description": "Wheelchair accessory, addition to mobile arm support, supinator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM ABDOMINAL AORTA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35081", "description": "DIR RPR ANEURYSM ABDOMINAL AORTA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2881.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PELVIC EXENTERATION COLORECTAL MALIGNANCY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45126", "description": "PELVIC EXENTERATION COLORECTAL MALIGNANCY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4405.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystoenterostomy; direct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47720", "description": "Cholecystoenterostomy; direct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2003.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2186.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoplasty, plastic operation for stricture; adult", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46700", "description": "Anoplasty, plastic operation for stricture; adult", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1134.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYPRPHENYLALNINMIA MNTR QUAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0382U", "description": "HYPRPHENYLALNINMIA MNTR QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteocalcin (bone g1a protein)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83937", "description": "Osteocalcin (bone g1a protein)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS FINGER DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1832", "description": "SPS FINGER DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cold agglutinin; titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86157", "description": "Cold agglutinin; titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 10177.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pail or pan for use with commode chair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0167", "description": "Pail or pan for use with commode chair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV STRESS TEST SUPVJ ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93016", "description": "CV STRESS TEST SUPVJ ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41826", "description": "Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27605", "description": "Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 146.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PEL EXNTJ GYNECOLOGIC MAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58240", "description": "PEL EXNTJ GYNECOLOGIC MAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4803.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2 VAC 5MCG/0.5ML IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91304", "description": "SARSCOV2 VAC 5MCG/0.5ML IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6550", "description": "Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67031", "description": "Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 529.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHLOROPROCAINE HCL OPHT 3% GEL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2403", "description": "CHLOROPROCAINE HCL OPHT 3% GEL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of ganglion, wrist (dorsal or volar); recurrent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25112", "description": "Excision of ganglion, wrist (dorsal or volar); recurrent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 673.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, base, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0017", "description": "Detachable, adjustable height armrest, base, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ABSC PHRNGL XTRNL APPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42725", "description": "I D ABSC PHRNGL XTRNL APPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1251.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FILGRASTIM-AYOW BIOSIMILR 1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5125", "description": "INJ FILGRASTIM-AYOW BIOSIMILR 1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81316", "description": "PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33991", "description": "Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, both arterial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 756.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17004", "description": "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32442", "description": "Removal of lung, pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5160.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25360", "description": "Osteotomy; ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1090.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRAOP HIPEC PX EA ADD 30MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96548", "description": "NTRAOP HIPEC PX EA ADD 30MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of ulnar styloid fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25651", "description": "Percutaneous skeletal fixation of ulnar styloid fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 847.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9541", "description": "Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside rails, full-length", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0310", "description": "Bedside rails, full-length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerebrospinal fluid leakage detection and localization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78650", "description": "Cerebrospinal fluid leakage detection and localization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 396.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC MOOD DO MRNA 144 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0291U", "description": "PSYC MOOD DO MRNA 144 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2632.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7509", "description": "Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION IMETELSTAT 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0870", "description": "INJECTION IMETELSTAT 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36905", "description": "PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61705", "description": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4753.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Human epididymis protein 4 (HE4)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86305", "description": "Human epididymis protein 4 (HE4)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, von Willebrand factor complex (human), Wilate, 1 IU vWF:RCo", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7183", "description": "Injection, von Willebrand factor complex (human), Wilate, 1 IU vWF:RCo", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of epithelial downgrowth, anterior chamber of eye", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65900", "description": "Removal of epithelial downgrowth, anterior chamber of eye", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1472.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64874", "description": "Suture of nerve; requiring extensive mobilization, or transposition of nerve (List separately in addition to code for nerve suture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.09, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2216", "description": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26492", "description": "Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1618.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2808.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS GU PTHGN ARG DETCJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0372U", "description": "NFCT DS GU PTHGN ARG DETCJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSORL LWR ESOPHGL MYOTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43497", "description": "TRANSORL LWR ESOPHGL MYOTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thorax, diagnostic; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71250", "description": "Computed tomography, thorax, diagnostic; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RBCAG FTL RHD PCR ALYS EXON4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0536U", "description": "RBCAG FTL RHD PCR ALYS EXON4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78803", "description": "RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 512.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, upper portion, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0018", "description": "Detachable, adjustable height armrest, upper portion, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20240", "description": "Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation of hip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27295", "description": "Disarticulation of hip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2067.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continent device, stoma absorptive cover for continent stoma", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5083", "description": "Continent device, stoma absorptive cover for continent stoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28102", "description": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1046.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34401", "description": "Thrombectomy, direct or with catheter; vena cava, iliac vein, by abdominal incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2232.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VIM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4251", "description": "VIM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69740", "description": "Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1795.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87116", "description": "Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation or biopsy, temporal artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37609", "description": "Ligation or biopsy, temporal artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0304", "description": "Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ringers lactate infusion, up to 1,000 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7120", "description": "Ringers lactate infusion, up to 1,000 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sodium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84295", "description": "Sodium; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10060", "description": "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 801.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74329", "description": "Endoscopic catheterization of the pancreatic ductal system, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0494", "description": "Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 173.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 extra heavy-duty, captain's chair, patient weight 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0829", "description": "Power wheelchair, group 2 extra heavy-duty, captain's chair, patient weight 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1531.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blepharoplasty, lower eyelid; with extensive herniated fat pad", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15821", "description": "Blepharoplasty, lower eyelid; with extensive herniated fat pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54417", "description": "RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1416.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33216", "description": "Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 599.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEMBRANE WRAP-HYDRO TM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4290", "description": "MEMBRANE WRAP-HYDRO TM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AFAMITRESGENE AUTOLEUCEL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2057", "description": "AFAMITRESGENE AUTOLEUCEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1090500.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with thoracic sympathectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32664", "description": "Thoracoscopy, surgical; with thoracic sympathectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1485.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paraffin bath unit, portable (see medical supply code A4265 for paraffin)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0235", "description": "Paraffin bath unit, portable (see medical supply code A4265 for paraffin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOSTIM MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4266", "description": "NEOSTIM MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENESIS AMNIOTIC MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4198", "description": "GENESIS AMNIOTIC MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, interphalangeal joint; each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26535", "description": "Arthroplasty, interphalangeal joint; each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 749.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, chest; 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71047", "description": "Radiologic examination, chest; 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33927", "description": "Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4230.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESOLVE OR XENOPATCH SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2024", "description": "RESOLVE OR XENOPATCH SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triamcinolone hexacetonide, per 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3303", "description": "Injection, triamcinolone hexacetonide, per 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27043", "description": "Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43135", "description": "Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2531.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preparation of fecal microbiota for instillation, including assessment of donor specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44705", "description": "Preparation of fecal microbiota for instillation, including assessment of donor specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of sternum fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21820", "description": "Closed treatment of sternum fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Joint survey, single view, 2 or more joints (specify)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77077", "description": "Joint survey, single view, 2 or more joints (specify)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65800", "description": "Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87206", "description": "Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25280", "description": "Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68760", "description": "Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VENDAJE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4252", "description": "VENDAJE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2631", "description": "Wheelchair accessory, addition to mobile arm support, elevating proximal arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 383.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0672", "description": "Segmental gradient pressure pneumatic appliance, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, thigh, through femur, any level; immediate fitting technique including first cast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27591", "description": "Amputation, thigh, through femur, any level; immediate fitting technique including first cast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1598.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLOWRAP DS/DRY PER SQ CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4150", "description": "ALLOWRAP DS/DRY PER SQ CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32488", "description": "Removal of lung, other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4084.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic services for the use of speech-generating device, including programming and modification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92609", "description": "Therapeutic services for the use of speech-generating device, including programming and modification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RBC DNA GNTYP 12 BLD GRP GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0282U", "description": "RBC DNA GNTYP 12 BLD GRP GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Potassium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84132", "description": "Potassium; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47147", "description": "Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27827", "description": "Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1886.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, pelvis; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72190", "description": "Radiologic examination, pelvis; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heterophile antibodies; screening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86308", "description": "Heterophile antibodies; screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lubricant, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4402", "description": "Lubricant, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96132", "description": "NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99377", "description": "SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19125", "description": "Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81240", "description": "F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0439T", "description": "MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23680", "description": "Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1553.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15620", "description": "Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20245", "description": "Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99175", "description": "Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSTAGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4439", "description": "INSTAGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH DBTC CKD MULT ECLIA ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0407U", "description": "NEPH DBTC CKD MULT ECLIA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1425.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27792", "description": "Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1084.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotaxis assay, specify method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86155", "description": "Chemotaxis assay, specify method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrests, pair (for use with capped rental wheelchair base)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0195", "description": "Elevating legrests, pair (for use with capped rental wheelchair base)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Temperature gradient studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93740", "description": "Temperature gradient studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57500", "description": "Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REV/RPLCMT SK-MNT CRNL NSTM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61891", "description": "REV/RPLCMT SK-MNT CRNL NSTM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1567.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27514", "description": "Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1571.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 15106.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anorectal myomectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45108", "description": "Anorectal myomectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4180", "description": "Parenteral nutrition solution: carbohydrates (dextrose), greater than 50% (500 ml = 1 unit), home mix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2394", "description": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87496", "description": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2717.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL BDY CST SHO TO HIP B TH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29046", "description": "APPL BDY CST SHO TO HIP B TH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMALLPOX AND MONKEYPOX VACCINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90611", "description": "SMALLPOX AND MONKEYPOX VACCINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35304", "description": "Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2117.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine; thoracic, minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72074", "description": "Radiologic examination, spine; thoracic, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ MED LAR QUAN DDCFDNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0576U", "description": "TRNSPLJ MED LAR QUAN DDCFDNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4860.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96920", "description": "Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81400", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition supply kit; premix, per day", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4220", "description": "Parenteral nutrition supply kit; premix, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, femur; minimum 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73552", "description": "Radiologic examination, femur; minimum 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4221", "description": "Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8540.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35685", "description": "Placement of vein patch or cuff at distal anastomosis of bypass graft, synthetic conduit (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 328.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65880", "description": "Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 993.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sodium; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84295", "description": "Sodium; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LPOPRTN BLD W/5 MAJ CLASS AUTO PRFL UCENTRFUGTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0052U", "description": "LPOPRTN BLD W/5 MAJ CLASS AUTO PRFL UCENTRFUGTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STCK TH LEN 40MMHG OR< CST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6558", "description": "GD CMP STCK TH LEN 40MMHG OR< CST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 480.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of tongue with closure; anterior two-thirds", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41112", "description": "Excision of lesion of tongue with closure; anterior two-thirds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 398.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD COMP STK WAIST LENG 40MM HG< EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6541", "description": "GRD COMP STK WAIST LENG 40MM HG< EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic/electronic aerosol generator with small volume nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0574", "description": "Ultrasonic/electronic aerosol generator with small volume nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, Monovisc, for intra-articular injection, per dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7327", "description": "Hyaluronan or derivative, Monovisc, for intra-articular injection, per dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 927.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93456", "description": "CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1411.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81246", "description": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, octafluoropropane microspheres, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9956", "description": "Injection, octafluoropropane microspheres, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6402", "description": "Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neox Flo or Clarix Flo 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4155", "description": "Neox Flo or Clarix Flo 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32652", "description": "Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2859.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33944", "description": "BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 617.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for undescended testis with abdominal exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54560", "description": "Exploration for undescended testis with abdominal exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1087.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95926", "description": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; West Nile virus, IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86788", "description": "Antibody; West Nile virus, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of intrauterine device (IUD)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58301", "description": "Removal of intrauterine device (IUD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frozen blood, each unit; freezing (includes preparation) and thawing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86932", "description": "Frozen blood, each unit; freezing (includes preparation) and thawing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93641", "description": "EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of procidentia (separate procedure) under anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45900", "description": "Reduction of procidentia (separate procedure) under anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 385.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VIII related antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85244", "description": "Clotting; factor VIII related antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUMMIT AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4398", "description": "SUMMIT AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2390", "description": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95807", "description": "Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GASTRIC EMPTYING IMG STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78264", "description": "GASTRIC EMPTYING IMG STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 455.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85362", "description": "Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide, semiquantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88361", "description": "M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58953", "description": "Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3325.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECT PLASMINOGEN HUMAN-TVMH 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2998", "description": "INJECT PLASMINOGEN HUMAN-TVMH 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62325", "description": "NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28545", "description": "Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72081", "description": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4563", "description": "Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2460.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromogenic substrate assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85130", "description": "Chromogenic substrate assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33770", "description": "Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3577.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular (myodisc), per lens, bifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2215", "description": "Lenticular (myodisc), per lens, bifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0403", "description": "Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FOUNDATION DRS+ SOLO SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2042", "description": "FOUNDATION DRS+ SOLO SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of palatal or maxillary fracture (LeFort I type);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21422", "description": "Open treatment of palatal or maxillary fracture (LeFort I type);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1040.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25066", "description": "Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 640.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with lobectomy (single lobe)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32663", "description": "Thoracoscopy, surgical; with lobectomy (single lobe)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2403.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ventricular assist device, implantable intracorporeal, single ventricle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33980", "description": "Removal of ventricular assist device, implantable intracorporeal, single ventricle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2983.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, doxorubicin hydrochloride, liposomal, imported Lipodox, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2049", "description": "Injection, doxorubicin hydrochloride, liposomal, imported Lipodox, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 719.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL BDY CST SHO TO HIP HEAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29040", "description": "APPL BDY CST SHO TO HIP HEAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 295.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19287", "description": "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0691", "description": "Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 sq ft or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1920.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34717", "description": "EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth and/or width, by construction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1298", "description": "Special wheelchair seat depth and/or width, by construction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19105", "description": "Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 355.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0166", "description": "GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with removal of intrapleural foreign body or fibrin deposit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32150", "description": "Thoracotomy; with removal of intrapleural foreign body or fibrin deposit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1773.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78429", "description": "MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2202.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, dislocating peroneal tendons; without fibular osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27675", "description": "Repair, dislocating peroneal tendons; without fibular osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 827.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, incobotulinumtoxinA, 1 unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0588", "description": "Injection, incobotulinumtoxinA, 1 unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73721", "description": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95028", "description": "Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of tests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0801", "description": "Power operated vehicle, group 1 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 19150.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYAL/DERV HYLGN/SUPRTZ IA INJ PER D", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7321", "description": "HYAL/DERV HYLGN/SUPRTZ IA INJ PER D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG [any form]), utilizing maternal serum, algorithm reported as a risk score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81510", "description": "Fetal congenital abnormalities, biochemical assays of three analytes (AFP, uE3, hCG [any form]), utilizing maternal serum, algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, granisetron HCl, 100 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1626", "description": "Injection, granisetron HCl, 100 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; varicella-zoster", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86787", "description": "Antibody; varicella-zoster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13153", "description": "Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucagon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82943", "description": "Glucagon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tape, waterproof, per 18 sq in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4452", "description": "Tape, waterproof, per 18 sq in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93619", "description": "COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 674.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of one extremity; 5 or more muscles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64644", "description": "Chemodenervation of one extremity; 5 or more muscles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncoprotein; des-gamma-carboxy-prothrombin (DCP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83951", "description": "Oncoprotein; des-gamma-carboxy-prothrombin (DCP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRINC ILLNESS NAV SRV ADD 30MIN/MON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0024", "description": "PRINC ILLNESS NAV SRV ADD 30MIN/MON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57155", "description": "Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 409.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54300", "description": "Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1029.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92605", "description": "Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54328", "description": "1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1470.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1059.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33416", "description": "Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetric septal hypertrophy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3462.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1212", "description": "Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadoterate meglumine, 0.1 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9575", "description": "Injection, gadoterate meglumine, 0.1 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hymenotomy, simple incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56442", "description": "Hymenotomy, simple incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 255.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilirubin; direct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82248", "description": "Bilirubin; direct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANCA SCREEN EACH ANTIBODY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86036", "description": "ANCA SCREEN EACH ANTIBODY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90662", "description": "Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 509.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44361", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYALOMATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4117", "description": "HYALOMATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of greater humeral tuberosity fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23620", "description": "Closed treatment of greater humeral tuberosity fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 485.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93631", "description": "Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 495.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35122", "description": "DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3145.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21348", "description": "Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1666.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93225", "description": "External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility.", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9685", "description": "Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility.", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of patent ductus arteriosus; by division, 18 years and older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33824", "description": "Repair of patent ductus arteriosus; by division, 18 years and older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2059.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52240", "description": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 600.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87797", "description": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COCOON MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4264", "description": "COCOON MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HTLV-II", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86688", "description": "Antibody; HTLV-II", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; subclavian-brachial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35512", "description": "Bypass graft, with vein; subclavian-brachial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2010.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Declotting by thrombolytic agent of implanted vascular access device or catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36593", "description": "Declotting by thrombolytic agent of implanted vascular access device or catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX ASY PRSMV 30+RX/METABLT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0227U", "description": "RX ASY PRSMV 30+RX/METABLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX CALCANEAL FX W/BONE GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28420", "description": "OPTX CALCANEAL FX W/BONE GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2170.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, panitumumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9303", "description": "Injection, panitumumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, prepatellar bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27340", "description": "Excision, prepatellar bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UREA BREATH TST C-14 ACQUISJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78267", "description": "UREA BREATH TST C-14 ACQUISJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fundus photography with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92250", "description": "Fundus photography with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34843", "description": "ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3334.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81413", "description": "CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, degarelix, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9155", "description": "Injection, degarelix, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Somatostatin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84307", "description": "Somatostatin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cannula, nasal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4615", "description": "Cannula, nasal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of nail(s) by any method(s); 1 to 5", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11720", "description": "Debridement of nail(s) by any method(s); 1 to 5", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aniseikonic, per lens, bifocal", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2218", "description": "Aniseikonic, per lens, bifocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5057", "description": "Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Photopheresis, extracorporeal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36522", "description": "Photopheresis, extracorporeal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMN1&SMN2 FULL GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0236U", "description": "SMN1&SMN2 FULL GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 904.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal procidentia, with anastomosis; abdominal and perineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45135", "description": "Excision of rectal procidentia, with anastomosis; abdominal and perineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2101.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION PICC W/RS&I 5 YR/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36573", "description": "INSERTION PICC W/RS&I 5 YR/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, by oral administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79005", "description": "Radiopharmaceutical therapy, by oral administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21268", "description": "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3246.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27823", "description": "Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1650.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25820", "description": "Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1099.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS/PASS ELBOW DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1801", "description": "SPS/PASS ELBOW DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2603", "description": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DUAL LAYER IMPAX MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4262", "description": "DUAL LAYER IMPAX MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy, cervicothoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64804", "description": "Sympathectomy, cervicothoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2260.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2396", "description": "Power wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49412", "description": "PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45309", "description": "Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANT THRC VRT BODY TETHRG <7", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22836", "description": "ANT THRC VRT BODY TETHRG <7", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3253.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36476", "description": "ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision aural glomus tumor; extended (extratemporal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69554", "description": "Excision aural glomus tumor; extended (extratemporal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3937.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ceftazidime and avibactam, 0.5 g/0.125 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0714", "description": "Injection, ceftazidime and avibactam, 0.5 g/0.125 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, shoulder; subcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23330", "description": "Removal of foreign body, shoulder; subcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88249", "description": "Chromosome analysis for breakage syndromes; score 100 cells, clastogen stress (eg, diepoxybutane, mitomycin C, ionizing radiation, UV radiation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64420", "description": "INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Claviculectomy; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23125", "description": "Claviculectomy; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1201.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0446T", "description": "Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation and patient training", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ZRSR2 GENE COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81360", "description": "ZRSR2 GENE COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy irrigation supply; cone/catheter, with or without brush", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4399", "description": "Ostomy irrigation supply; cone/catheter, with or without brush", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33229", "description": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 597.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95018", "description": "ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine; thoracic, 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72072", "description": "Radiologic examination, spine; thoracic, 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOSTIM TL, PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4265", "description": "NEOSTIM TL, PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0497", "description": "Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; interim obturator prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21079", "description": "Impression and custom preparation; interim obturator prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1797.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99252", "description": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 40 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22902", "description": "Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 599.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyclic citrullinated peptide (CCP), antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86200", "description": "Cyclic citrullinated peptide (CCP), antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57284", "description": "Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High mount flip-up footrest, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0037", "description": "High mount flip-up footrest, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50705", "description": "URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of testicular prosthesis (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54660", "description": "Insertion of testicular prosthesis (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 584.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg splint, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4042", "description": "Cast supplies, long leg splint, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81334", "description": "RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 213.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC TPVT ST SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37285", "description": "REVSC EVASC TPVT ST SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 275.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63685", "description": "Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, pelvis, with or without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72198", "description": "Magnetic resonance angiography, pelvis, with or without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 454.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12011", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uric acid; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84550", "description": "Uric acid; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27860", "description": "Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with removal of impacted foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58562", "description": "Hysteroscopy, surgical; with removal of impacted foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81230", "description": "CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0651", "description": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1251.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27049", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2322.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5507", "description": "For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe, per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 118.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0247", "description": "ROUTINE FOOT CARE BY PHYS OF DIABETIC PT W/LOPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostoma filter, any type, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4481", "description": "Tracheostoma filter, any type, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2626", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIATION TX DELIVERY LVL 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77402", "description": "RADIATION TX DELIVERY LVL 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44015", "description": "Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX RDL HEAD/NCK FX WO MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24650", "description": "CLTX RDL HEAD/NCK FX WO MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 744.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2620", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 485.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 15.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90661", "description": "Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, standard, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0275", "description": "Bed pan, standard, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.75, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96411", "description": "Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26118", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1744.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33778", "description": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3998.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95887", "description": "NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEUM SEQ COMPRES GRMNT HALF LEG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0679", "description": "NONPNEUM SEQ COMPRES GRMNT HALF LEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 460.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, tip, cane, crutch, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4637", "description": "Replacement, tip, cane, crutch, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0478", "description": "Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 331.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respiratory flow volume loop", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94375", "description": "Respiratory flow volume loop", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, atropine sulfate, 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0461", "description": "Injection, atropine sulfate, 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMPD1(sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81330", "description": "SMPD1(sphingomyelin phosphodiesterase 1, acid lysosomal) (eg, Niemann-Pick disease, Type A) gene analysis, common variants (eg, R496L, L302P, fsP330)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1649.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platform attachment, forearm crutch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0153", "description": "Platform attachment, forearm crutch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, reslizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2786", "description": "Injection, reslizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2207", "description": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Curettage, postpartum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59160", "description": "Curettage, postpartum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4390", "description": "Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43123", "description": "PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7623.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech audiometry threshold; with speech recognition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92556", "description": "Speech audiometry threshold; with speech recognition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43320", "description": "Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2393.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Retrobulbar injection; alcohol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67505", "description": "Retrobulbar injection; alcohol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLOSKIN AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4141", "description": "ALLOSKIN AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cervical stump, abdominal approach; with pelvic floor repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57545", "description": "Excision of cervical stump, abdominal approach; with pelvic floor repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1308.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>48HR<7D SCAN A/R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93243", "description": "EXT ECG>48HR<7D SCAN A/R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 436.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS/PASS KNEE DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1811", "description": "SPS/PASS KNEE DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reptilase test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85635", "description": "Reptilase test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiological examination, surgical specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76098", "description": "Radiological examination, surgical specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactate dehydrogenase (LD), (LDH);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83615", "description": "Lactate dehydrogenase (LD), (LDH);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration of bladder; by trocar or intracatheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51101", "description": "Aspiration of bladder; by trocar or intracatheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture great toe, phalanx or phalanges; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28495", "description": "Closed treatment of fracture great toe, phalanx or phalanges; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting inhibitors or anticoagulants; protein C, activity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85303", "description": "Clotting inhibitors or anticoagulants; protein C, activity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2608", "description": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3083.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0849", "description": "Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, vestibule of mouth", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40808", "description": "Biopsy, vestibule of mouth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PILD/PLACEBO CONTROL CLIN TR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0276", "description": "PILD/PLACEBO CONTROL CLIN TR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 620.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0016U", "description": "ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21423", "description": "Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1286.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adenosine, 5-monophosphate, cyclic (cyclic AMP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82030", "description": "Adenosine, 5-monophosphate, cyclic (cyclic AMP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scleral reinforcement (separate procedure); without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67250", "description": "Scleral reinforcement (separate procedure); without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1385.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, shaft or distal humerus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24150", "description": "Radical resection of tumor, shaft or distal humerus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2511.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64421", "description": "INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, metacarpophalangeal joint; each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26530", "description": "Arthroplasty, metacarpophalangeal joint; each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0137U", "description": "PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26215", "description": "Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 974.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17283", "description": "DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB PE KDR ENG&RBP4 IA ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0390U", "description": "OB PE KDR ENG&RBP4 IA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49325", "description": "Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 709.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0956", "description": "Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1511.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERCALARY ALLOGRAFT COMPLETE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20934", "description": "INTERCALARY ALLOGRAFT COMPLETE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1167.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25116", "description": "RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1019.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATROPINE SULF NTE 0.01 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0462", "description": "ATROPINE SULF NTE 0.01 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amines, vaginal fluid, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82120", "description": "Amines, vaginal fluid, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV INFUS CIPAGLUCOSIDASE ALFA-ATGA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0138", "description": "IV INFUS CIPAGLUCOSIDASE ALFA-ATGA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 350.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal biopsy; percutaneous, by trocar or needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50200", "description": "Renal biopsy; percutaneous, by trocar or needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 790.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNGRPH CHD AZYGS/HEMIAZYGS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93585", "description": "VNGRPH CHD AZYGS/HEMIAZYGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28286", "description": "Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 480.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, laceration of palate; up to 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42180", "description": "Repair, laceration of palate; up to 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27619", "description": "Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 773.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1068.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTN COAG FACTOR IX IXINITY 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7213", "description": "INJECTN COAG FACTOR IX IXINITY 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31087", "description": "Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1765.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Combination oral/nasal mask, used with continuous positive airway pressure device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7027", "description": "Combination oral/nasal mask, used with continuous positive airway pressure device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3040.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helicobacter pylori; drug administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83014", "description": "Helicobacter pylori; drug administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Desoxycorticosterone, 11-", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82633", "description": "Desoxycorticosterone, 11-", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34718", "description": "EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2034.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76513", "description": "Ophthalmic ultrasound, diagnostic; anterior segment ultrasound, immersion (water bath) B-scan or high resolution biomicroscopy, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 726.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76825", "description": "Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8940.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81345", "description": "TERT (telomerase reverse transcriptase) (eg, thyroid carcinoma, glioblastoma multiforme) gene analysis, targeted sequence analysis (eg, promoter region", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64913", "description": "Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24320", "description": "Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1310.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19318", "description": "Breast reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1749.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33985", "description": "ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 856.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst new pt 30 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2002", "description": "Post-D/C H Vst new pt 30 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESPIR IADNA 18 VIRAL&2 BACT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0115U", "description": "RESPIR IADNA 18 VIRAL&2 BACT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 413.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64487", "description": "Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2367", "description": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82952", "description": "Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture and/or ligation of thoracic duct; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38382", "description": "Suture and/or ligation of thoracic duct; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1222.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80434", "description": "Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 427.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33210", "description": "Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35686", "description": "Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 266.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2215", "description": "Manual wheelchair accessory, tube for pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80306", "description": "DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty care transport (SCT)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0434", "description": "Specialty care transport (SCT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1602.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36810", "description": "Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; common femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35371", "description": "Thromboendarterectomy, including patch graft, if performed; common femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1353.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPR MED PGA EMBRY TE STRUX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0553U", "description": "REPR MED PGA EMBRY TE STRUX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 85.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV&VAGINITIS DNA ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81514", "description": "NFCT DS BV&VAGINITIS DNA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0076U", "description": "CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61343", "description": "Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3999.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, acetaminophen, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0131", "description": "Injection, acetaminophen, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2384", "description": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy, exploratory; supratentorial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61304", "description": "Craniectomy or craniotomy, exploratory; supratentorial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3045.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL RISSR JACKET BDY W/HEAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29015", "description": "APPL RISSR JACKET BDY W/HEAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48145", "description": "Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2788.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2102", "description": "Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 153.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasal fracture; uncomplicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21325", "description": "Open treatment of nasal fracture; uncomplicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 731.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with synovectomy, ankle; including tenosynovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27626", "description": "Arthrotomy, with synovectomy, ankle; including tenosynovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 995.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSCRV ABLTJ UTRN FIBRD RF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58580", "description": "TRANSCRV ABLTJ UTRN FIBRD RF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 640.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Galactose-1-phosphate uridyl transferase; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82775", "description": "Galactose-1-phosphate uridyl transferase; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VITOGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4317", "description": "VITOGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 72.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplantation of pancreatic allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48554", "description": "Transplantation of pancreatic allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4662.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5503", "description": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with roller or rigid rocker bottom, per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibuloplasty; entire arch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40844", "description": "Vestibuloplasty; entire arch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1889.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3240", "description": "Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3007.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positron emission tomography (PET) imaging; whole body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78813", "description": "Positron emission tomography (PET) imaging; whole body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19120", "description": "EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 739.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10030", "description": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21049", "description": "Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1785.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26415", "description": "Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1493.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9603", "description": "TRAVEL 1 WAY MED NEC LAB SPEC; PRORAT ACTL MILE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7195", "description": "Injection, factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Triglycerides", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84478", "description": "Triglycerides", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74240", "description": "RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50955", "description": "Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DGP ANTIBODY EACH IG CLASS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86258", "description": "DGP ANTIBODY EACH IG CLASS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of contact lens for management of keratoconus, initial fitting", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92072", "description": "Fitting of contact lens for management of keratoconus, initial fitting", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3323.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 699.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED PAN CA GSAP 88GENE NGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0474U", "description": "HERED PAN CA GSAP 88GENE NGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, diazepam, up to 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3360", "description": "Injection, diazepam, up to 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43774", "description": "Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1658.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOTAL TAU", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84394", "description": "TOTAL TAU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63056", "description": "TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2611.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ear piercing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69090", "description": "Ear piercing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroxine; requiring elution (eg, neonatal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84437", "description": "Thyroxine; requiring elution (eg, neonatal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21260", "description": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2231.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, calf rest/pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0995", "description": "Wheelchair accessory, calf rest/pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Triiodothyronine T3; reverse", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84482", "description": "Triiodothyronine T3; reverse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14020", "description": "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 889.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thawing and expansion of frozen cells, each aliquot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88241", "description": "Thawing and expansion of frozen cells, each aliquot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29863", "description": "Arthroscopy, hip, surgical; with synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1353.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15787", "description": "Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35572", "description": "HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of esophageal wound or injury; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43410", "description": "Suture of esophageal wound or injury; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1587.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urea nitrogen, urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84540", "description": "Urea nitrogen, urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85366", "description": "Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27232", "description": "Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1255.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMABIND CH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4288", "description": "DERMABIND CH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of salivary gland; needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42400", "description": "Biopsy of salivary gland; needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat height from floor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1296", "description": "Special wheelchair seat height from floor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAP THYR CA RNA 82&10", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0362U", "description": "ONC PAP THYR CA RNA 82&10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; herpes simplex, type 2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86696", "description": "Antibody; herpes simplex, type 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2373", "description": "Power wheelchair accessory, hand or chin control interface, compact remote joystick, proportional, including fixed mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS GU PTHGN DNA 46TRGT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0593U", "description": "NFCT DS GU PTHGN DNA 46TRGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 952.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMV&RPLCMT PHRNC NRV STIM PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33287", "description": "RMV&RPLCMT PHRNC NRV STIM PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 616.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9309", "description": "INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPPL ACCESSOR TIBIAL STIM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4545", "description": "SUPPL ACCESSOR TIBIAL STIM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chiropractic manipulative treatment (CMT); spinal, 5 regions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98942", "description": "Chiropractic manipulative treatment (CMT); spinal, 5 regions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99291", "description": "Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy); forensic examination", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88040", "description": "Necropsy (autopsy); forensic examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1254.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4500.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2504", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 20 minutes but less than or equal to 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2529.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CSTB FULL GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0232U", "description": "CSTB FULL GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phospholipid neutralization; hexagonal phospholipid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85598", "description": "Phospholipid neutralization; hexagonal phospholipid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 113.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Factor VIII, (antihemophilic factor, recombinant), (Afstyla), 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7210", "description": "Injection, Factor VIII, (antihemophilic factor, recombinant), (Afstyla), 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7189", "description": "Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0113", "description": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroneocystostomy; anastomosis of duplicated ureter to bladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50782", "description": "Ureteroneocystostomy; anastomosis of duplicated ureter to bladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1680.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacle prosthesis for aphakia; monofocal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92352", "description": "Fitting of spectacle prosthesis for aphakia; monofocal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63709", "description": "Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2014.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT SCR QRTSA DNA MRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0464U", "description": "ONC CLRCT SCR QRTSA DNA MRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 887.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, albumin (human), 5%, 250 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9045", "description": "Infusion, albumin (human), 5%, 250 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0824", "description": "Power wheelchair, group 2 heavy-duty, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carinal reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31766", "description": "Carinal reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3042.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transport chair, adult size, heavy-duty, patient weight capacity greater than 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1039", "description": "Transport chair, adult size, heavy-duty, patient weight capacity greater than 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of orbit (transcranial approach); with removal of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61333", "description": "Exploration of orbit (transcranial approach); with removal of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3715.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; combined aortoiliac", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35361", "description": "Thromboendarterectomy, including patch graft, if performed; combined aortoiliac", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2536.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of chalazion; single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67800", "description": "Excision of chalazion; single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, conjunctiva; over 1 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68115", "description": "Excision of lesion, conjunctiva; over 1 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>48HR<7D RECORDING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93242", "description": "EXT ECG>48HR<7D RECORDING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81412", "description": "ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3672.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ OCRELIZUMAB 1 MG HYA-OCSQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2351", "description": "INJ OCRELIZUMAB 1 MG HYA-OCSQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lysis intranasal synechia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30560", "description": "Lysis intranasal synechia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11305", "description": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Narrowing device, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0969", "description": "Narrowing device, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Release of encircling material (posterior segment)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67115", "description": "Release of encircling material (posterior segment)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 749.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1035", "description": "Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DL AMNIO BUR X MEM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4366", "description": "DL AMNIO BUR X MEM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23600", "description": "Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 594.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36598", "description": "Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedure(s), group (2 or more individuals)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97150", "description": "Therapeutic procedure(s), group (2 or more individuals)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inhibin A", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86336", "description": "Inhibin A", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47460", "description": "Transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal extraction of calculus (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2186.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87516", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, pectin-based, paste, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4406", "description": "Ostomy skin barrier, pectin-based, paste, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31625", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLSD TX NSL FX MNPJ WO STBLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21315", "description": "CLSD TX NSL FX MNPJ WO STBLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUTRLZG ANTB SARSCOV2 TITER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86409", "description": "NEUTRLZG ANTB SARSCOV2 TITER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, upper portion, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0018", "description": "Detachable, adjustable height armrest, upper portion, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ECULIZUMAB 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1299", "description": "INJ ECULIZUMAB 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; abdominal aorta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35331", "description": "Thromboendarterectomy, including patch graft, if performed; abdominal aorta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2328.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusoidal vertical axis rotational testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92546", "description": "Sinusoidal vertical axis rotational testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61868", "description": "STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 873.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR 1ST INGUN HRNA PRETERM INFT RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49491", "description": "RPR 1ST INGUN HRNA PRETERM INFT RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1394.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61863", "description": "STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2827.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78801", "description": "RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "U0001", "description": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tonsillectomy and adenoidectomy; age 12 or over", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42821", "description": "Tonsillectomy and adenoidectomy; age 12 or over", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 479.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PALONOSETRON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2468", "description": "INJ PALONOSETRON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15261", "description": "FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81189", "description": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75809", "description": "SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bifocal seg width over 28mm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2219", "description": "Bifocal seg width over 28mm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21344", "description": "Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2138.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55845", "description": "Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2109.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, ventilator tray, gimbaled", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1030", "description": "Wheelchair accessory, ventilator tray, gimbaled", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, vertebral body, open; lumbar or cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20251", "description": "Biopsy, vertebral body, open; lumbar or cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 771.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96574", "description": "DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 471.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28760", "description": "Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg, Jones type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 936.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with sphenoidotomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31287", "description": "Nasal/sinus endoscopy, surgical, with sphenoidotomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracostomy; with open flap drainage for empyema", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32036", "description": "Thoracostomy; with open flap drainage for empyema", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1407.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43242", "description": "EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEU PRKSN MSFL A-SYNCLN PRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0393U", "description": "NEU PRKSN MSFL A-SYNCLN PRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKEL FIX HUMRL CNDYLR FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24582", "description": "PRQ SKEL FIX HUMRL CNDYLR FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1404.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86977", "description": "Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV hanger, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0105", "description": "IV hanger, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90965", "description": "ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 879.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrorrhaphy, suture of urethral wound or injury, female", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53502", "description": "Urethrorrhaphy, suture of urethral wound or injury, female", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81105", "description": "HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION B9 LES UP TO 14", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17110", "description": "DESTRUCTION B9 LES UP TO 14", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY LEFLUNOMIDE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80193", "description": "DRUG ASSAY LEFLUNOMIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28525", "description": "Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION, AMIVANTAMAB-VMJW 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9061", "description": "INJECTION, AMIVANTAMAB-VMJW 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of intestine by capsule, tube, peroral (1 or more specimens)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44100", "description": "Biopsy of intestine by capsule, tube, peroral (1 or more specimens)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting inhibitors or anticoagulants; antithrombin III, activity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85300", "description": "Clotting inhibitors or anticoagulants; antithrombin III, activity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2366", "description": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; Rh phenotyping, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86906", "description": "Blood typing, serologic; Rh phenotyping, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 17632.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31259", "description": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with removal of tissue from the sphenoid sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 697.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, radical (Schauta type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58285", "description": "Vaginal hysterectomy, radical (Schauta type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2403.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43200", "description": "Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54235", "description": "Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, enoxaparin sodium, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1650", "description": "Injection, enoxaparin sodium, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AORTOILIAC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35637", "description": "BPG AORTOILIAC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2763.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19001", "description": "Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7677", "description": "Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2395", "description": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, nivolumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9299", "description": "Injection, nivolumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 253.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, conjunctiva; up to 1 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68110", "description": "Excision of lesion, conjunctiva; up to 1 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, zidovudine, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3485", "description": "Injection, zidovudine, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2330", "description": "PWR WC ACCSS HEAD PROX SWITCH MECH NONPRPRTNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2612", "description": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 389.75, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of nail bed with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11762", "description": "Reconstruction of nail bed with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86665", "description": "Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystoenterostomy; with gastroenterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47721", "description": "Cholecystoenterostomy; with gastroenterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2333.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Severing adhesions of anterior segment, laser technique (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65860", "description": "Severing adhesions of anterior segment, laser technique (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67808", "description": "Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70552", "description": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44203", "description": "Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33954", "description": "ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 784.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, toe; interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28825", "description": "Amputation, toe; interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, paliperidone palmitate extended release, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2426", "description": "Injection, paliperidone palmitate extended release, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43249", "description": "Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 236.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EHRLICHA CHAFFEENSIS AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87484", "description": "EHRLICHA CHAFFEENSIS AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21813", "description": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1636.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81170", "description": "ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical traction device, with inflatable air bladder(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0856", "description": "Cervical traction device, with inflatable air bladder(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63044", "description": "LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 513.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22854", "description": "INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 564.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhytidectomy; forehead", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15824", "description": "Rhytidectomy; forehead", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2125.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENVERSE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4258", "description": "ENVERSE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58720", "description": "Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1252.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iron binding capacity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83550", "description": "Iron binding capacity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33206", "description": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 728.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multifetal pregnancy reduction(s) (MPR)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59866", "description": "Multifetal pregnancy reduction(s) (MPR)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 398.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 30.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88152", "description": "Cytopathology, slides, cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36251", "description": "SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 400.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PEGCETACOPLAN IVT MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2781", "description": "INJECTION PEGCETACOPLAN IVT MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35875", "description": "Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 983.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22867", "description": "INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1858.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0130", "description": "Walker, rigid (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77338", "description": "Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 447.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54411", "description": "RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1621.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1454", "description": "Injection, fosnetupitant 235 mg and palonosetron 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 741.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85420", "description": "Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59120", "description": "Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1365.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75774", "description": "ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5111", "description": "Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90954", "description": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1758.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 573.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, acquired or traumatic arteriovenous fistula; extremities", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35190", "description": "Repair, acquired or traumatic arteriovenous fistula; extremities", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1253.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disposable external urethral clamp or compression device, with pad and/or pouch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4360", "description": "Disposable external urethral clamp or compression device, with pad and/or pouch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Splenectomy; partial (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38101", "description": "Splenectomy; partial (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1988.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bifocal add over 3.25d", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2220", "description": "Bifocal add over 3.25d", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78811", "description": "Positron emission tomography (PET) imaging; limited area (eg, chest, head/neck)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2359.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of palate, uvula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42100", "description": "Biopsy of palate, uvula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL BODY CAST SHO TO HIPS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29035", "description": "APPL BODY CAST SHO TO HIPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of acetabulum (hip socket) fracture(s); without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27220", "description": "Closed treatment of acetabulum (hip socket) fracture(s); without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 700.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65600", "description": "Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 520.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4016", "description": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stationary oxygen contents, gaseous, 1 month's supply = 1 unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0441", "description": "Stationary oxygen contents, gaseous, 1 month's supply = 1 unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2351", "description": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 965.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pemetrexed (Pemfexy), 10", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9304", "description": "Injection, pemetrexed (Pemfexy), 10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27443", "description": "Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72120", "description": "Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Serum screening for cytotoxic percent reactive antibody (PRA); standard method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86807", "description": "Serum screening for cytotoxic percent reactive antibody (PRA); standard method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1614.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulodesis, metacarpophalangeal joint; 3 or 4 digits", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26518", "description": "Capsulodesis, metacarpophalangeal joint; 3 or 4 digits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1532.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadobutrol, 0.1 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9585", "description": "Injection, gadobutrol, 0.1 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26418", "description": "Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1120.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VASOPRESSIN BAXTER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2601", "description": "INJ VASOPRESSIN BAXTER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26410", "description": "Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1068.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93313", "description": "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, ankle; with implant (total ankle)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27702", "description": "Arthroplasty, ankle; with implant (total ankle)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1578.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ankle; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73600", "description": "Radiologic examination, ankle; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5112", "description": "Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80051", "description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMACYTE AM ALLOGFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4248", "description": "DERMACYTE AM ALLOGFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33771", "description": "Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3662.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stand/rack", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1355", "description": "Stand/rack", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg cast, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4040", "description": "Cast supplies, short leg cast, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1605.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin; luteinizing hormone (LH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83002", "description": "Gonadotropin; luteinizing hormone (LH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PEANUT ALLG ASMT EPI PRB ALL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0165U", "description": "PEANUT ALLG ASMT EPI PRB ALL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 695.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, major artery (eg, post-traumatic, rupture); extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37618", "description": "Ligation, major artery (eg, post-traumatic, rupture); extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 669.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketogenic steroids, fractionation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83582", "description": "Ketogenic steroids, fractionation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; plasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83051", "description": "Hemoglobin; plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0071", "description": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0660", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7228.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, osseous survey; limited (eg, for metastases)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77074", "description": "Radiologic examination, osseous survey; limited (eg, for metastases)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivoplasty; with conjunctival graft or extensive rearrangement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68320", "description": "Conjunctivoplasty; with conjunctival graft or extensive rearrangement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cautery of cervix; electro or thermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57510", "description": "Cautery of cervix; electro or thermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1587.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue culture for neoplastic disorders; bone marrow, blood cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88237", "description": "Tissue culture for neoplastic disorders; bone marrow, blood cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 215.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRTC DNA WHL GN SEQ 5-", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0410U", "description": "ONC PNCRTC DNA WHL GN SEQ 5-", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1740.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX TRNSORL ESG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43889", "description": "GSTR RSTCV PX TRNSORL ESG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1271.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated voice synthesizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2100", "description": "Blood glucose monitor with integrated voice synthesizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1176.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SFTY MPLT&/FB ASMT STF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76015", "description": "MR SFTY MPLT&/FB ASMT STF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS RPD WHLGEN DNA VRNTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0582U", "description": "RARE DS RPD WHLGEN DNA VRNTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11373.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81201", "description": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of thrombosed hemorrhoid, external", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46320", "description": "Excision of thrombosed hemorrhoid, external", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SAFETY IMPLANT ELEC PREPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76018", "description": "MR SAFETY IMPLANT ELEC PREPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDTB&VINCULIN IGG ANTB IA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0176U", "description": "CDTB&VINCULIN IGG ANTB IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with insertion of permanent urethral stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52282", "description": "Cystourethroscopy, with insertion of permanent urethral stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78708", "description": "Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dicyclomine HCl, up to 20 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0500", "description": "Injection, dicyclomine HCl, up to 20 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0493", "description": "Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 457.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve pedicle transfer; second stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64907", "description": "Nerve pedicle transfer; second stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2102.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15834", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1446.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Etiocholanolone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82696", "description": "Etiocholanolone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagostomy, fistulization of esophagus, external; thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43351", "description": "Esophagostomy, fistulization of esophagus, external; thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2321.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40700", "description": "Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1625.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93261", "description": "INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboplastin time, partial (PTT); substitution, plasma fractions, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85732", "description": "Thromboplastin time, partial (PTT); substitution, plasma fractions, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81262", "description": "IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0655", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26235", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 829.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, adductor or hamstring; multiple tendons", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27307", "description": "Tenotomy, percutaneous, adductor or hamstring; multiple tendons", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasovasostomy, vasovasorrhaphy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55400", "description": "Vasovasostomy, vasovasorrhaphy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 797.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cast, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4032", "description": "Cast supplies, long leg cast, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Polarization, any lens material, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2762", "description": "Polarization, any lens material, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORTHOP TRAING SUPVJ PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92066", "description": "ORTHOP TRAING SUPVJ PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58960", "description": "LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1705.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 73.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BASIC METABOLIC PNL TOTAL CA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80048", "description": "BASIC METABOLIC PNL TOTAL CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21385", "description": "Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ 1/+THYR NDUL ADDL PRQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60661", "description": "ABLTJ 1/+THYR NDUL ADDL PRQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 336.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection temporal bone, external approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69535", "description": "Resection temporal bone, external approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4165.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive skin support attachment for use with external breast prosthesis, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4280", "description": "Adhesive skin support attachment for use with external breast prosthesis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2206", "description": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AXILLARY-POP/-TIBIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35623", "description": "BPG AXILLARY-POP/-TIBIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2190.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99349", "description": "HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; vasopneumatic devices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97016", "description": "Application of a modality to 1 or more areas; vasopneumatic devices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47361", "description": "Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5053.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with salpingostomy (salpingoneostomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58673", "description": "Laparoscopy, surgical; with salpingostomy (salpingoneostomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1242.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "3D ECHO IMG CGEN CAR ANOMAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93319", "description": "3D ECHO IMG CGEN CAR ANOMAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45337", "description": "Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of other cranial nerve, extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64771", "description": "Transection or avulsion of other cranial nerve, extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 996.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting inhibitors or anticoagulants; protein C, antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85302", "description": "Clotting inhibitors or anticoagulants; protein C, antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57415", "description": "Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcranial Doppler study of the intracranial arteries; complete study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93886", "description": "Transcranial Doppler study of the intracranial arteries; complete study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81253", "description": "GJB2 (gap junction protein, beta 2, 26kDa, connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72194", "description": "Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reservoir bottle, nondisposable, used with large volume ultrasonic nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7009", "description": "Reservoir bottle, nondisposable, used with large volume ultrasonic nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2367", "description": "Power wheelchair accessory, battery charger, dual mode, for use with either battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 504.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81335", "description": "TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15005", "description": "PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lysis of labial adhesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56441", "description": "Lysis of labial adhesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93314", "description": "Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, femur or knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27365", "description": "Radical resection of tumor, femur or knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3304.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiotensin I - converting enzyme (ACE)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82164", "description": "Angiotensin I - converting enzyme (ACE)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47425", "description": "Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2349.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure only for mammary ductogram or galactogram", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19030", "description": "Injection procedure only for mammary ductogram or galactogram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estrogens; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82672", "description": "Estrogens; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, nonheated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0561", "description": "Humidifier, nonheated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86005", "description": "Allergen specific IgE; qualitative, multiallergen screen (eg, disk, sponge, card)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLETHYSMOGRAPHY LUNG VOLUMES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94726", "description": "PLETHYSMOGRAPHY LUNG VOLUMES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27218", "description": "OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1767.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin, quantitative, transcutaneous, per day; methemoglobin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88741", "description": "Hemoglobin, quantitative, transcutaneous, per day; methemoglobin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M NEW PATIENT 20 MINUTES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9482", "description": "REMOTE IN-HOME VISIT E/M NEW PATIENT 20 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0148", "description": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 223.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43275", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 569.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ IFX-AXXQ BIOSIMILR AVSOLA 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5121", "description": "INJ IFX-AXXQ BIOSIMILR AVSOLA 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, laronidase, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1931", "description": "Injection, laronidase, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6451", "description": "MOD COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7521", "description": "Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUDYN SL OR NUDYN SLW PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4286", "description": "NUDYN SL OR NUDYN SLW PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22328", "description": "OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 474.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral nutrition infusion pump, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9002", "description": "Enteral nutrition infusion pump, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MITOMYCN PYELOCALYCEAL INSTILL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9281", "description": "MITOMYCN PYELOCALYCEAL INSTILL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 457.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44388", "description": "Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "53" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AFLIBERCEPT AYYH 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5147", "description": "INJ AFLIBERCEPT AYYH 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1162.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN TX POST PELV BONE FX &/ DISLOC UNI/BIL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0415", "description": "OPN TX POST PELV BONE FX &/ DISLOC UNI/BIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2230.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 77.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25365", "description": "Osteotomy; radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1528.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRINC ILLNESS NAV SRV 60MIN CAL MTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0023", "description": "PRINC ILLNESS NAV SRV 60MIN CAL MTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MELATONIN LVL TST SLP STD7/9", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0462U", "description": "MELATONIN LVL TST SLP STD7/9", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REM MNTR PHYSIOL PARAM 16-30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99454", "description": "REM MNTR PHYSIOL PARAM 16-30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortography, thoracic, by serialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75605", "description": "Aortography, thoracic, by serialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PEMBROLIZUMAB 1MG BERAHYALUR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9277", "description": "PEMBROLIZUMAB 1MG BERAHYALUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 75.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83518", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88121", "description": "Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; using computer-assisted technology", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 621.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPLX CHRNC CARE 1ST 60 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99487", "description": "CPLX CHRNC CARE 1ST 60 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatinine; other source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82570", "description": "Creatinine; other source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15956", "description": "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1969.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxcarbazepine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80183", "description": "Oxcarbazepine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26531", "description": "Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1049.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76775", "description": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0693", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; talus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28302", "description": "Osteotomy; talus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1210.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sinuses, paranasal, less than 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70210", "description": "Radiologic examination, sinuses, paranasal, less than 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Genioplasty; sliding osteotomy, single piece", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21121", "description": "Genioplasty; sliding osteotomy, single piece", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 849.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRAIN FOR CAREGIVER ADD 15", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0540", "description": "TRAIN FOR CAREGIVER ADD 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Donor nephrectomy (including cold preservation); open, from living donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50320", "description": "Donor nephrectomy (including cold preservation); open, from living donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2703.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADMN SARSCOV2 VAC 1/ONLY CMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90480", "description": "ADMN SARSCOV2 VAC 1/ONLY CMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLOPLY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4323", "description": "ALLOPLY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2370", "description": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 710.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2963.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81299", "description": "MSH6 (mutS homolog 6 [E. coli]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Severing of tarsorrhaphy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67710", "description": "Severing of tarsorrhaphy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50593", "description": "Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64896", "description": "Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2312.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION GADOPICLENOL 1 ML", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9573", "description": "INJECTION GADOPICLENOL 1 ML", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3885.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOVAFIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4208", "description": "NOVAFIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 116.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal procidentia, with anastomosis; perineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45130", "description": "Excision of rectal procidentia, with anastomosis; perineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1787.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2752.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuromuscular stimulator for scoliosis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0744", "description": "Neuromuscular stimulator for scoliosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Treponema pallidum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86780", "description": "Antibody; Treponema pallidum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27470", "description": "Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1949.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81382", "description": "HLA Class II typing, high resolution (ie, alleles or allele groups); one locus (eg, HLA-DRB1, -DRB3/4/5, -DQB1, -DQA1, -DPB1, or -DPA1), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99469", "description": "Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, minimum 4 static views;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78605", "description": "Brain imaging, minimum 4 static views;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20600", "description": "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CNS ALYS 30000 DNA LOCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0020M", "description": "ONC CNS ALYS 30000 DNA LOCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3750.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pemetrexed, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9305", "description": "Injection, pemetrexed, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure; lymphangiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38790", "description": "Injection procedure; lymphangiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64713", "description": "Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19285", "description": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mucin, synovial fluid (Ropes test)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83872", "description": "Mucin, synovial fluid (Ropes test)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEUROL TBI ALYS GFAP&UCH-L1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0570U", "description": "NEUROL TBI ALYS GFAP&UCH-L1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free jejunum transfer with microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43496", "description": "Free jejunum transfer with microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1842.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2500", "description": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 835.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX AQT/CHRNC ELBOW DISLC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24615", "description": "OPTX AQT/CHRNC ELBOW DISLC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31531", "description": "Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 318.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antithrombin III (human), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7197", "description": "Antithrombin III (human), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93464", "description": "PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASPERGILLUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87305", "description": "ASPERGILLUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP 2.0 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4402", "description": "XWRAP 2.0 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63051", "description": "LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2905.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, shortening, angular or rotational correction; other phalanges, any toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28312", "description": "Osteotomy, shortening, angular or rotational correction; other phalanges, any toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 613.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1395.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, hamstring, knee to hip; single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27390", "description": "Tenotomy, open, hamstring, knee to hip; single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 751.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent systolic blood pressure less than 130 mm Hg (DM), (HTN, CKD, CAD)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3074F", "description": "Most recent systolic blood pressure less than 130 mm Hg (DM), (HTN, CKD, CAD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99242", "description": "OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14301", "description": "Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1361.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45113", "description": "Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2976.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ GSTR/JJ ANAST W/VGTMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43865", "description": "REVJ GSTR/JJ ANAST W/VGTMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2908.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of lacrimal gland", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68510", "description": "Biopsy of lacrimal gland", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 402.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87591", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHOENCEPHALOGRAPHY REAL TIME IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76506", "description": "ECHOENCEPHALOGRAPHY REAL TIME IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36831", "description": "Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1033.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1111.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHRNC CARE MGMT STAFF 1ST 20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99490", "description": "CHRNC CARE MGMT STAFF 1ST 20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG); recording in coma or sleep only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95822", "description": "Electroencephalogram (EEG); recording in coma or sleep only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 697.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPYLORI STOOL AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87338", "description": "HPYLORI STOOL AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21256", "description": "Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1987.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61708", "description": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4655.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61760", "description": "Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2943.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; manual differential WBC count, buffy coat", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85009", "description": "Blood count; manual differential WBC count, buffy coat", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cephalin floculation, blood", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P2028", "description": "Cephalin floculation, blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CUTAN MLNMA MRNA 31 GENE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81529", "description": "ONC CUTAN MLNMA MRNA 31 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10789.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22861", "description": "Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4266.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46707", "description": "Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 932.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYD88 (myeloid differentiation primary response 88) (eg, Waldenstroms macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81305", "description": "MYD88 (myeloid differentiation primary response 88) (eg, Waldenstroms macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75902", "description": "Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen, radiologic supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27686", "description": "Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 890.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC ORL&/OROP CA 20 MLC FEAT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0296U", "description": "ONC ORL&/OROP CA 20 MLC FEAT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRURL RBTC WTRJT RESCJ PRST8", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52597", "description": "TRURL RBTC WTRJT RESCJ PRST8", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 958.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33218", "description": "Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRAIGH TIP HYDROPHILIC CATH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4295", "description": "STRAIGH TIP HYDROPHILIC CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99244", "description": "OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2615", "description": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43204", "description": "Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11604", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 149.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TBS TECHL PREP&TRANSMIS DATA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77090", "description": "TBS TECHL PREP&TRANSMIS DATA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91065", "description": "Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67015", "description": "Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 910.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT FEMUR IMED LNGTH DEV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27458", "description": "OSTEOT FEMUR IMED LNGTH DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3092.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT NGS MUT DETC 43GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0498U", "description": "ONC CLRCT NGS MUT DETC 43GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2017.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydroxyindolacetic acid, 5-(HIAA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83497", "description": "Hydroxyindolacetic acid, 5-(HIAA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHLMY TRCH&NEISRA GONOR MULT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87494", "description": "CHLMY TRCH&NEISRA GONOR MULT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67042", "description": "VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1645.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration of bladder; with insertion of suprapubic catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51102", "description": "Aspiration of bladder; with insertion of suprapubic catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64890", "description": "Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1760.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1310.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81110", "description": "HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22326", "description": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2749.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2508", "description": "Speech generating device, synthesized speech, requiring message formulation by spelling and access by physical contact with the device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7645.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, chest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0657", "description": "Segmental pneumatic appliance for use with pneumatic compressor, chest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 154.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0672", "description": "Segmental gradient pressure pneumatic appliance, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 689.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43640", "description": "Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2051.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fructose, semen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82757", "description": "Fructose, semen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft (Thiersch operation) for rectal incontinence and/or prolapse", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46753", "description": "Graft (Thiersch operation) for rectal incontinence and/or prolapse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1119.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0046U", "description": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 611.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24075", "description": "Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 576.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2613", "description": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 400.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of submandibular (submaxillary) gland", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42440", "description": "Excision of submandibular (submaxillary) gland", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR NON/MAL HUM WITH AGRFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24435", "description": "RPR NON/MAL HUM WITH AGRFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1801.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inj, remdesivir, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0248", "description": "Inj, remdesivir, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN IMPLTJ NEA PERPH NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64575", "description": "OPN IMPLTJ NEA PERPH NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; mandibular resection prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21081", "description": "Impression and custom preparation; mandibular resection prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1851.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; male, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0325", "description": "Urinal; male, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58345", "description": "Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 453.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48400", "description": "Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AXILLARY-FEMORAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35621", "description": "BPG AXILLARY-FEMORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1812.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2204", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1238.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30400", "description": "Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2132.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deoxyribonucleic acid (DNA) antibody; single stranded", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86226", "description": "Deoxyribonucleic acid (DNA) antibody; single stranded", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95115", "description": "Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93355", "description": "ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyclosporine, oral, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7502", "description": "Cyclosporine, oral, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngectomy; subtotal supraglottic, without radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31367", "description": "Laryngectomy; subtotal supraglottic, without radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3386.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7503", "description": "Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric diagnostic evaluation with medical services", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90792", "description": "Psychiatric diagnostic evaluation with medical services", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of medial malleolus fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27760", "description": "Closed treatment of medial malleolus fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; biceps tenodesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29828", "description": "Arthroscopy, shoulder, surgical; biceps tenodesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1510.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15155", "description": "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1171.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transcatheter closure of patent ductus arteriosus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93582", "description": "Percutaneous transcatheter closure of patent ductus arteriosus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1040.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 185.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45119", "description": "PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2998.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D PENIS DEEP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54015", "description": "I D PENIS DEEP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 483.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21100", "description": "Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ P-ART REVSC 1 ABNOR BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33903", "description": "PERQ P-ART REVSC 1 ABNOR BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1395.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64400", "description": "INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81520", "description": "ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4648.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lip; transverse wedge excision with primary closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40510", "description": "Excision of lip; transverse wedge excision with primary closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 559.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Armrest, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0994", "description": "Armrest, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2510", "description": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14468.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67340", "description": "Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 398.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58662", "description": "Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1156.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX HUMERAL EPCNDYLR FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24575", "description": "OPTX HUMERAL EPCNDYLR FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1244.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coupling gel or paste, for use with ultrasound device, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4559", "description": "Coupling gel or paste, for use with ultrasound device, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2206", "description": "Manual wheelchair accessory, wheel lock assembly, complete, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, oprelvekin, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2355", "description": "Injection, oprelvekin, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 604.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17261", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG DRLG OST DISS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29885", "description": "ARTHRS KNE SRG DRLG OST DISS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1279.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4515.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89330", "description": "Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV AG W/HIV1&2 ANTB W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87806", "description": "HIV AG W/HIV1&2 ANTB W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous passive motion exercise device for use on knee only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0935", "description": "Continuous passive motion exercise device for use on knee only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Formation of direct or tubed pedicle, with or without transfer; trunk", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15570", "description": "Formation of direct or tubed pedicle, with or without transfer; trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1204.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to headboard, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0840", "description": "Traction frame, attached to headboard, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4973.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SHIGA-LIKE TOXIN AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87427", "description": "SHIGA-LIKE TOXIN AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Aspergillus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86606", "description": "Antibody; Aspergillus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TOCILIZUMAB-ANOH HOSPI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0237", "description": "INJ TOCILIZUMAB-ANOH HOSPI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0075U", "description": "CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22512", "description": "VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair and reconstruction, finger, volar plate, interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26548", "description": "Repair and reconstruction, finger, volar plate, interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1367.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cemiplimab-rwlc, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9119", "description": "Injection, cemiplimab-rwlc, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, cervical; 2 or 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72040", "description": "Radiologic examination, spine, cervical; 2 or 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Safety vest, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0980", "description": "Safety vest, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93931", "description": "Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0815", "description": "Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.09, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1093", "description": "Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 236.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST CA S100 A8&A9 ELISA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0458U", "description": "ONC BRST CA S100 A8&A9 ELISA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrorrhaphy, suture of urethral wound or injury; perineal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53510", "description": "Urethrorrhaphy, suture of urethral wound or injury; perineal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1006.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ORITAVANCIN KIMYRSA 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2406", "description": "INJECTION ORITAVANCIN KIMYRSA 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93297", "description": "Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33993", "description": "Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 254.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PEMIVIBART PRE-EP ONLY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0224", "description": "INJECTION PEMIVIBART PRE-EP ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10243.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95165", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shock absorber for manual wheelchair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1015", "description": "Shock absorber for manual wheelchair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54308", "description": "Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1133.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of introitus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56800", "description": "Plastic repair of introitus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 403.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, trunk; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13101", "description": "Repair, complex, trunk; 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tracheal tumor or carcinoma; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31785", "description": "Excision of tracheal tumor or carcinoma; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1614.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water circulating heat pad with pump", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0217", "description": "Water circulating heat pad with pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; red blood cell (RBC), automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85041", "description": "Blood count; red blood cell (RBC), automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81107", "description": "HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90969", "description": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99384", "description": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0639", "description": "Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26607", "description": "Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 891.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26765", "description": "Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID19 Antibody; severe acute respiratory syndr", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86769", "description": "SARS-COV-2 COVID19 Antibody; severe acute respiratory syndr", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93702", "description": "Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81596", "description": "NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INNOVABURN/INNOVAMTRX XL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2022", "description": "INNOVABURN/INNOVAMTRX XL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0859", "description": "Power wheelchair, group 3 heavy-duty, single power option, captain's chair, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1854.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of trimalleolar ankle fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27818", "description": "Closed treatment of trimalleolar ankle fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 856.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88334", "description": "Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of vena cava, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34502", "description": "Reconstruction of vena cava, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2569.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRML DSTRJ IOS BVN 1ST 2 L/S", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64628", "description": "TRML DSTRJ IOS BVN 1ST 2 L/S", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAVERTEBRAL BODY FX AUG W/IMPL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2250", "description": "INTRAVERTEBRAL BODY FX AUG W/IMPL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CES SYS SUP & ACCESSORIES PER MONTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4596", "description": "CES SYS SUP & ACCESSORIES PER MONTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, appendectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44970", "description": "Laparoscopy, surgical, appendectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1053.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6216", "description": "Gauze, nonimpregnated, nonsterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61640", "description": "Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 813.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67935", "description": "Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 637.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair with fixed arm, footrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1221", "description": "Wheelchair with fixed arm, footrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29530", "description": "Strapping; knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ USTEKINUMAB STBA STEQEYMA 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5099", "description": "INJ USTEKINUMAB STBA STEQEYMA 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOS BAXTER 5MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9076", "description": "INJ CYCLOPHOS BAXTER 5MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm splint, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4018", "description": "Cast supplies, long arm splint, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58560", "description": "Hysteroscopy, surgical; with division or resection of intrauterine septum (any method)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 488.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AORTOBI-ILIAC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35638", "description": "BPG AORTOBI-ILIAC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2892.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27606", "description": "Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17264", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bivalirudin, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0583", "description": "Injection, bivalirudin, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIEFFECT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4278", "description": "EPIEFFECT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27409", "description": "Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1609.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M NEW PT 60 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0664", "description": "TEAM REMOTE E/M NEW PT 60 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MIRIKIZUMAB-MRKZ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2267", "description": "INJ MIRIKIZUMAB-MRKZ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0399", "description": "Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ECG/heart rate and 1 oxygen saturation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Netupitant 300 mg and palonosetron 0.5 mg, oral", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8655", "description": "Netupitant 300 mg and palonosetron 0.5 mg, oral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43333", "description": "Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2146.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAV INF TOCI FIRST DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0237", "description": "INTRAV INF TOCI FIRST DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroneocystostomy; with extensive ureteral tailoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50783", "description": "Ureteroneocystostomy; with extensive ureteral tailoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1758.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64795", "description": "Biopsy of nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 68.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0017U", "description": "ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboxane metabolite(s), including thromboxane if performed, urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84431", "description": "Thromboxane metabolite(s), including thromboxane if performed, urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33536", "description": "Coronary artery bypass, using arterial graft(s); 4 or more coronary arterial grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4482.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Refilling and maintenance of portable pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96521", "description": "Refilling and maintenance of portable pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, head; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70545", "description": "Magnetic resonance angiography, head; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of implantable defibrillator pulse generator only; with existing multiple leads", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33231", "description": "Insertion of implantable defibrillator pulse generator only; with existing multiple leads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 643.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28606", "description": "Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 690.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stenger test, pure tone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92565", "description": "Stenger test, pure tone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27266", "description": "Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33365", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg, median sternotomy, mediastinotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2320.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration set, with small volume nonfiltered pneumatic nebulizer, disposable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7003", "description": "Administration set, with small volume nonfiltered pneumatic nebulizer, disposable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47552", "description": "Biliary endoscopy, percutaneous via T-tube or other tract; diagnostic, with collection of specimen(s) by brushing and/or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, tricuspid valve, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33465", "description": "Replacement, tricuspid valve, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4667.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION UBLITUXIMAB-XIIY 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2329", "description": "INJECTION UBLITUXIMAB-XIIY 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT UP LMB TRMR STIM PERIP NRV WRST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0734", "description": "EXT UP LMB TRMR STIM PERIP NRV WRST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 672.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lacrimal gland (dacryoadenectomy), except for tumor; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68500", "description": "Excision of lacrimal gland (dacryoadenectomy), except for tumor; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1598.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; elbow or wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29260", "description": "Strapping; elbow or wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve teasing preparations", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88362", "description": "Nerve teasing preparations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 139.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0043", "description": "Footrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26992", "description": "Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1699.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11011", "description": "DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 474.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation salivary duct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42650", "description": "Dilation salivary duct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43753", "description": "Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95149", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLOWERDERM PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4179", "description": "FLOWERDERM PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81271", "description": "HTT (huntingtin) (eg, Huntington disease) gene analysis; evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous treatment of mandibular fracture, with external fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21452", "description": "Percutaneous treatment of mandibular fracture, with external fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 816.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87634", "description": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, vinorelbine tartrate, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9390", "description": "Injection, vinorelbine tartrate, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ethmoidectomy; extranasal, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31205", "description": "Ethmoidectomy; extranasal, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1466.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, for use on faceplate, rubber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4383", "description": "Ostomy pouch, urinary, for use on faceplate, rubber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87592", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62361", "description": "Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0077U", "description": "Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12031", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 233.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Battery for pneumatic ventricular assist device, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0503", "description": "Battery for pneumatic ventricular assist device, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2344.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS IMPLT SMPL CN NPGT PRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95976", "description": "ELEC ALYS IMPLT SMPL CN NPGT PRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, crotalidae polyvalent immune fab (ovine), up to 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0840", "description": "Injection, crotalidae polyvalent immune fab (ovine), up to 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0167", "description": "DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colostomy or skin level cecostomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44320", "description": "Colostomy or skin level cecostomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2030.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sipuleucel-T, minimum of 50 million autologous cd54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2043", "description": "Sipuleucel-T, minimum of 50 million autologous cd54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79626.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphincteroplasty, anal, for incontinence, adult; muscle transplant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46760", "description": "Sphincteroplasty, anal, for incontinence, adult; muscle transplant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1846.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on penis for epispadias distal to external sphincter;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54380", "description": "Plastic operation on penis for epispadias distal to external sphincter;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1262.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of iris, ciliary body (as for iridodialysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66680", "description": "Repair of iris, ciliary body (as for iridodialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 876.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy clamp, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4363", "description": "Ostomy clamp, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL SUTR&STAPL XREQ ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15854", "description": "REMOVAL SUTR&STAPL XREQ ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81249", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61531", "description": "Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2331.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92558", "description": "Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27620", "description": "Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 773.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0296", "description": "Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 215.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast augmentation with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19325", "description": "Breast augmentation with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1009.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43405", "description": "Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2552.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leukocyte transfusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86950", "description": "Leukocyte transfusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, single column/group; with fissurectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46257", "description": "Hemorrhoidectomy, internal and external, single column/group; with fissurectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 733.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27535", "description": "Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1464.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Beta-2 microglobulin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82232", "description": "Beta-2 microglobulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90836", "description": "Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FOLIC ACID 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1808", "description": "INJ FOLIC ACID 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2602", "description": "General use wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Abrasion; single lesion (eg, keratosis, scar)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15786", "description": "Abrasion; single lesion (eg, keratosis, scar)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28024", "description": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 520.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of acromioclavicular dislocation; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23540", "description": "Closed treatment of acromioclavicular dislocation; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 460.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 177.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6040.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95981", "description": "ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66770", "description": "Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 719.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MIRODERM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4175", "description": "MIRODERM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2203", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 714.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-reclining wheelchair, detachable arms (desk or full-length) elevating legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1110", "description": "Semi-reclining wheelchair, detachable arms (desk or full-length) elevating legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; for postoperative complications", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32120", "description": "Thoracotomy; for postoperative complications", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1543.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APOLLO FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4385", "description": "APOLLO FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0473", "description": "Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65810", "description": "Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane, with or without air injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 694.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heavy-duty wheelchair, fixed full-length arms, elevating legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1295", "description": "Heavy-duty wheelchair, fixed full-length arms, elevating legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrectomy, total, including cystostomy; female", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53210", "description": "Urethrectomy, total, including cystostomy; female", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1214.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45330", "description": "Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0201T", "description": "PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3488.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JK GNOTYP SLC14A1 EXON 9", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0192U", "description": "JK GNOTYP SLC14A1 EXON 9", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheterization, umbilical artery, newborn, for diagnosis or therapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36660", "description": "Catheterization, umbilical artery, newborn, for diagnosis or therapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, palonosetron HCl, 25 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2469", "description": "Injection, palonosetron HCl, 25 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43259", "description": "EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 344.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, with stand, includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0205", "description": "Heat lamp, with stand, includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IG LIGHT CHAINS FREE EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83521", "description": "IG LIGHT CHAINS FREE EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 89.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phenylketones, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84035", "description": "Phenylketones, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interfyl, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4171", "description": "Interfyl, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DUOGRAFT AA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4376", "description": "DUOGRAFT AA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS CSF METAG NGS ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0480U", "description": "NFCT DS CSF METAG NGS ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3189.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunofixation electrophoresis; serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86334", "description": "Immunofixation electrophoresis; serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81225", "description": "CYP2C19 (cytochrome P450, family 2, subfamily C, polypeptide 19) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *4, *8, *17)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic examination under anesthesia (other than local)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57410", "description": "Pelvic examination under anesthesia (other than local)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "pH; exhaled breath condensate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83987", "description": "pH; exhaled breath condensate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gentamicin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80170", "description": "Gentamicin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63610", "description": "Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1045.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of synovial cyst of popliteal space (eg, Baker's cyst)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27345", "description": "Excision of synovial cyst of popliteal space (eg, Baker's cyst)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 840.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body from external auditory canal; without general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69200", "description": "Removal foreign body from external auditory canal; without general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 621.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEG-PBBK FYLNETRA BS 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5130", "description": "INJ PEG-PBBK FYLNETRA BS 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6231", "description": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq in or less, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPRNL BALO CNTNC DEV RMVL EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53453", "description": "TPRNL BALO CNTNC DEV RMVL EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1127.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64600", "description": "Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electric heat pad, moist", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0215", "description": "Electric heat pad, moist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, hydrophilic, extended wear, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2523", "description": "Contact lens, hydrophilic, extended wear, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 344.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, extensor, foot; multiple tendons", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28226", "description": "Tenolysis, extensor, foot; multiple tendons", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 701.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81290", "description": "MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC IVT ANGIO CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37257", "description": "REVSC EVSC IVT ANGIO CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LNGVTY&MRTLTY RSK MRNA 18GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0294U", "description": "LNGVTY&MRTLTY RSK MRNA 18GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46601", "description": "ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84182", "description": "Protein; Western Blot, with interpretation and report, blood or other body fluid, immunological probe for band identification, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82274", "description": "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50230", "description": "Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2001.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gemtuzumab ozogamicin, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9203", "description": "Injection, gemtuzumab ozogamicin, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63663", "description": "Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 719.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Female external urinary collection device; pouch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4328", "description": "Female external urinary collection device; pouch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYCL/NRPSYCL TST TECH 2+ TST EA ADDL 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96139", "description": "PSYCL/NRPSYCL TST TECH 2+ TST EA ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59001", "description": "Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN TUM GEN PRFLG 8 DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0332U", "description": "ONC PAN TUM GEN PRFLG 8 DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1713.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61530", "description": "Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5580.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80408", "description": "Aldosterone suppression evaluation panel (eg, saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81219", "description": "CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pillow for use on nasal cannula type interface, replacement only, pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7033", "description": "Pillow for use on nasal cannula type interface, replacement only, pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2365", "description": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39545", "description": "Imbrication of diaphragm for eventration, transthoracic or transabdominal, paralytic or nonparalytic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1587.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82820", "description": "Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21742", "description": "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1365.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21812", "description": "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hair analysis (excluding arsenic)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P2031", "description": "Hair analysis (excluding arsenic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with control of bleeding, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44391", "description": "Colonoscopy through stoma; with control of bleeding, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 352.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0447", "description": "Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of facial nerve; infratemporal, with or without grafting", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64865", "description": "Suture of facial nerve; infratemporal, with or without grafting", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1669.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DUOAMNION PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4327", "description": "DUOAMNION PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66250", "description": "Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 827.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65781", "description": "Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1939.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin degradation products, D-dimer; qualitative or semiquantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85378", "description": "Fibrin degradation products, D-dimer; qualitative or semiquantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total facial nerve decompression and/or repair (may include graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69955", "description": "Total facial nerve decompression and/or repair (may include graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3005.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amino acids; single, qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82127", "description": "Amino acids; single, qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POSTERIOR NON-SEGMENTAL INSTRUMENTATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22840", "description": "POSTERIOR NON-SEGMENTAL INSTRUMENTATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1241.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AGENT NOS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87899", "description": "AGENT NOS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0114", "description": "Crutches, underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58100", "description": "Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Expression of conjunctival follicles (eg, for trachoma)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68040", "description": "Expression of conjunctival follicles (eg, for trachoma)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION CHEST WALL TUMOR INCLUDING RIBS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21601", "description": "EXCISION CHEST WALL TUMOR INCLUDING RIBS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2022.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muscle, myocutaneous, or fasciocutaneous flap; upper extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15736", "description": "Muscle, myocutaneous, or fasciocutaneous flap; upper extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1988.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel loop/holder, any type, with or without ankle strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0951", "description": "Heel loop/holder, any type, with or without ankle strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61596", "description": "TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3673.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, theophylline, per 40 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2810", "description": "Injection, theophylline, per 40 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81108", "description": "HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81284", "description": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12005", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87503", "description": "NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyclosporine, oral, 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7515", "description": "Cyclosporine, oral, 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ergonovine provocation test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93024", "description": "Ergonovine provocation test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI IBD IA QUAN DETER IFX LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0515U", "description": "GI IBD IA QUAN DETER IFX LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, tray, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0950", "description": "Wheelchair accessory, tray, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOGUARD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4371", "description": "NEOGUARD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision dermoid cyst, nose; complex, under bone or cartilage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30125", "description": "Excision dermoid cyst, nose; complex, under bone or cartilage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1044.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with removal of loose body or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29861", "description": "Arthroscopy, hip, surgical; with removal of loose body or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1171.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (B-cell lymphoma classification), mRNA, gene expression profiling", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0120U", "description": "Oncology (B-cell lymphoma classification), mRNA, gene expression profiling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3765.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, gas permeable, extended wear, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2513", "description": "Contact lens, gas permeable, extended wear, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 387.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Change of cystostomy tube; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51710", "description": "Change of cystostomy tube; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, indirect; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31510", "description": "Laryngoscopy, indirect; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA VAG PTHGN PANEL 27 ORG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0330U", "description": "IADNA VAG PTHGN PANEL 27 ORG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0010U", "description": "Infectious disease (bacterial), strain typing by whole genome sequencing, phylogenetic-based report of strain relatedness, per submitted isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 640.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure, exstrophy of bladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51940", "description": "Closure, exstrophy of bladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2540.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND N/S W>=5\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6444", "description": "CONFORM BAND N/S W>=5\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4389", "description": "Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95726", "description": "EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 589.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mannitol, administered through an inhaler, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7665", "description": "Mannitol, administered through an inhaler, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10008", "description": "Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX TARSAL BONE FX EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28465", "description": "OPTX TARSAL BONE FX EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1096.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94014", "description": "PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM DEV SPLY MSCSK SYS 2-15D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98985", "description": "RTM DEV SPLY MSCSK SYS 2-15D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35697", "description": "Reimplantation, visceral artery to infrarenal aortic prosthesis, each artery (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 241.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63741", "description": "Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1328.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Testosterone; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84402", "description": "Testosterone; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48551", "description": "BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99415", "description": "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gravity assisted traction device, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0941", "description": "Gravity assisted traction device, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64832", "description": "Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 503.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81268", "description": "CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 391.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCPSL CTRC RMVL CPLX INSJ 1+", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66989", "description": "XCPSL CTRC RMVL CPLX INSJ 1+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1238.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0981", "description": "Wheelchair accessory, seat upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of pericardial window or partial resection for drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33025", "description": "Creation of pericardial window or partial resection for drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal fibula or shaft fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27781", "description": "Closed treatment of proximal fibula or shaft fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 730.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88153", "description": "Cytopathology, slides, cervical or vaginal; with manual screening and rescreening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, temozolomide, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9328", "description": "Injection, temozolomide, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL FINGER SPLINT DYNAMIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29131", "description": "APPL FINGER SPLINT DYNAMIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33257", "description": "ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1034.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of tongue; posterior one-third", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41105", "description": "Biopsy of tongue; posterior one-third", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urea nitrogen; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84520", "description": "Urea nitrogen; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of Bartholin's gland or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56740", "description": "Excision of Bartholin's gland or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 503.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2601", "description": "General use wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst ext pt 20 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2006", "description": "Post-D/C H Vst ext pt 20 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cam release assembly, footrest or legrest, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0051", "description": "Cam release assembly, footrest or legrest, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attachments for complex pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0947", "description": "Fracture frame, attachments for complex pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 972.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2359", "description": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64479", "description": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS VAG INFCTJ ID 32ORGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0505U", "description": "NFCT DS VAG INFCTJ ID 32ORGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1019.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64463", "description": "Paravertebral block (PVB) (paraspinous block), thoracic; continuous infusion by catheter (includes imaging guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, thigh and/or knee, multiple compartments;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27498", "description": "Decompression fasciotomy, thigh and/or knee, multiple compartments;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1121.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, fungi, definitive identification, each organism; yeast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87106", "description": "Culture, fungi, definitive identification, each organism; yeast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatotomy, external drainage of prostatic abscess, any approach; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55725", "description": "Prostatotomy, external drainage of prostatic abscess, any approach; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 956.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; rubeola", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86765", "description": "Antibody; rubeola", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROGENAMATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4222", "description": "PROGENAMATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IKBKAP GENE ANALYSIS COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81260", "description": "IKBKAP GENE ANALYSIS COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 488.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58605", "description": "Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 537.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy; for simple excision of vesical neck (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51520", "description": "Cystotomy; for simple excision of vesical neck (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMS2 GENE MRNA SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0161U", "description": "PMS2 GENE MRNA SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphocytotoxicity assay, visual crossmatch; without titration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86806", "description": "Lymphocytotoxicity assay, visual crossmatch; without titration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 128.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "METAPROTERENOL NON-COMP UNIT DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7669", "description": "METAPROTERENOL NON-COMP UNIT DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION CEFIDEROCOL 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0699", "description": "INJECTION CEFIDEROCOL 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLT FAM GRP BHV TRAIN 1ST 60", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96202", "description": "MLT FAM GRP BHV TRAIN 1ST 60", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12056", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 621.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rib, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21600", "description": "Excision of rib, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1024.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG ILIO-MESENTERIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35633", "description": "BPG ILIO-MESENTERIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3300.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gabapentin, whole blood, serum, or plasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80171", "description": "Gabapentin, whole blood, serum, or plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thymectomy, partial or total; transcervical approach (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60520", "description": "Thymectomy, partial or total; transcervical approach (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1784.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ectropion; suture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67914", "description": "Repair of ectropion; suture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 508.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20824", "description": "Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3310.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for corpora cavernosography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54230", "description": "Injection procedure for corpora cavernosography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50526", "description": "Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2695.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, perflutren lipid microspheres, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9957", "description": "Injection, perflutren lipid microspheres, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0506", "description": "Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0182", "description": "PHYS SUPV PT UNDER MEDICARE-APPROVED HOSPICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ 1/+THYR NDUL 1LOBE PRQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60660", "description": "ABLTJ 1/+THYR NDUL 1LOBE PRQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5009.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heart transplant, with or without recipient cardiectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33945", "description": "Heart transplant, with or without recipient cardiectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8231.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy simple; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56625", "description": "Vulvectomy simple; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1115.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Etoposide, oral, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8560", "description": "Etoposide, oral, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92145", "description": "Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intrinsic muscles of hand, each muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26591", "description": "Repair, intrinsic muscles of hand, each muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 878.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0484", "description": "Oscillatory positive expiratory pressure device, nonelectric, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BD TUB PRO AB PD LY P/Y A WI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6608", "description": "GD CMP BD TUB PRO AB PD LY P/Y A WI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTEGRA MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4108", "description": "INTEGRA MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88162", "description": "Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86978", "description": "Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype, each absorption", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81363", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cervical stump, vaginal approach;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57550", "description": "Excision of cervical stump, vaginal approach;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 686.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine; thoracolumbar junction, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72080", "description": "Radiologic examination, spine; thoracolumbar junction, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59051", "description": "Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; interpretation only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86318", "description": "Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urography, retrograde, with or without KUB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74420", "description": "Urography, retrograde, with or without KUB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis C antibody;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86803", "description": "Hepatitis C antibody;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2623", "description": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 737.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, esophagus, with primary repair; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43100", "description": "Excision of lesion, esophagus, with primary repair; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 981.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15922", "description": "Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1303.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracavitary radiation source application; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77761", "description": "Intracavitary radiation source application; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 399.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, back upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0982", "description": "Wheelchair accessory, back upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20924", "description": "Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 838.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NIV & RELATLIMAB-RMBW 3 MG/1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9298", "description": "INJ NIV & RELATLIMAB-RMBW 3 MG/1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catecholamines; fractionated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82384", "description": "Catecholamines; fractionated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External cephalic version, with or without tocolysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59412", "description": "External cephalic version, with or without tocolysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination from nose to rectum for foreign body, single view, child", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76010", "description": "Radiologic examination from nose to rectum for foreign body, single view, child", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement garment for use with automated external defibrillator, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0608", "description": "Replacement garment for use with automated external defibrillator, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23585", "description": "Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1604.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VOLTAGE-GTD CA CHNL ANTB EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86596", "description": "VOLTAGE-GTD CA CHNL ANTB EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81288", "description": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; promoter methylation analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyclophosphamide, oral, 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8530", "description": "Cyclophosphamide, oral, 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0516T", "description": "INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 10767.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33982", "description": "Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3241.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33956", "description": "ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1376.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; intrathoracic, without bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35276", "description": "Repair blood vessel with graft other than vein; intrathoracic, without bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2531.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 168.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99463", "description": "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83789", "description": "Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft with microvascular anastomosis; metatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20957", "description": "Bone graft with microvascular anastomosis; metatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4417.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NERVE STIMULATOR FOR TX N&V", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0765", "description": "NERVE STIMULATOR FOR TX N&V", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO WRAP2 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4221", "description": "AMNIO WRAP2 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99245", "description": "OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION RETIFANLIMAB-DLWR 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9345", "description": "INJECTION RETIFANLIMAB-DLWR 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93453", "description": "Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1440.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 155.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRK2 TRANSLOCATION ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81192", "description": "NTRK2 TRANSLOCATION ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43215", "description": "Esophagoscopy, flexible, transoral; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95851", "description": "Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87501", "description": "Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, includes reverse transcription, when performed, and amplified probe technique, each type or subtype", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33984", "description": "ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 471.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz bath chair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0162", "description": "Sitz bath chair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC GENOM ALYS PNL 15 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0345U", "description": "PSYC GENOM ALYS PNL 15 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LNG QPCR-BSD ALYS 13DMRS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0566U", "description": "ONC LNG QPCR-BSD ALYS 13DMRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sedimentation rate, erythrocyte; automated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85652", "description": "Sedimentation rate, erythrocyte; automated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Receptor assay; estrogen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84233", "description": "Receptor assay; estrogen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66762", "description": "Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber angle)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 635.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION INEBILIZUMAB-CDON 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1823", "description": "INJECTION INEBILIZUMAB-CDON 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 701.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 7", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81406", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 7", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48540", "description": "Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2234.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84157", "description": "Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15740", "description": "Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1329.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0422", "description": "Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43510", "description": "Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1651.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement or irrigation, ventricular catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62225", "description": "Replacement or irrigation, ventricular catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1066.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23155", "description": "Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1343.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M NEW PT 45 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0663", "description": "TEAM REMOTE E/M NEW PT 45 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90970", "description": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5876.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial inguinal hernia, age 5 years or older; reducible", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49505", "description": "Repair initial inguinal hernia, age 5 years or older; reducible", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION EVINACUMAB-DGNB 5MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1305", "description": "INJECTION EVINACUMAB-DGNB 5MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49441", "description": "Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 383.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6243", "description": "Hydrogel dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ ATLAS-AXIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22595", "description": "ARTHRD PST TQ ATLAS-AXIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2804.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2858.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for postoperative hemorrhage, thrombosis or infection; neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35800", "description": "Exploration for postoperative hemorrhage, thrombosis or infection; neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat attachment, walker", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0156", "description": "Seat attachment, walker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2216", "description": "Manual wheelchair accessory, foam filled propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81362", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Digoxin; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80163", "description": "Digoxin; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Rho D immune globulin, human, minidose, 50 mcg (250 i.u.)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2788", "description": "Injection, Rho D immune globulin, human, minidose, 50 mcg (250 i.u.)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36902", "description": "INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0480T", "description": "FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21345", "description": "Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1270", "description": "Lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical or vaginal cancer screening; pelvic and clinical breast examination", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0101", "description": "Cervical or vaginal cancer screening; pelvic and clinical breast examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24071", "description": "Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 707.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60212", "description": "Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1778.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Perirectal injection of sclerosing solution for prolapse", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45520", "description": "Perirectal injection of sclerosing solution for prolapse", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboplastin time, partial (PTT); plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85730", "description": "Thromboplastin time, partial (PTT); plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0221T", "description": "Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1133.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of infected graft; extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35903", "description": "Excision of infected graft; extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 945.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVITALON PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4157", "description": "REVITALON PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ SKEL FIX POST PELV BONE FX&/DISLOC UNI/BIL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0413", "description": "PERQ SKEL FIX POST PELV BONE FX&/DISLOC UNI/BIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1757.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27832", "description": "Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision of proximal fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1286.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon, extensor, foot; primary or secondary, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28208", "description": "Repair, tendon, extensor, foot; primary or secondary, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 543.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; upper extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35206", "description": "Repair blood vessel, direct; upper extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOPLAST 3 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4369", "description": "AMNIOPLAST 3 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, skull; less than 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70250", "description": "Radiologic examination, skull; less than 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC TPVT ANGIO SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37281", "description": "REVSC EVSC TPVT ANGIO SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, pulmonary valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33475", "description": "Replacement, pulmonary valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3901.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent transvenous electrode(s) by thoracotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33238", "description": "Removal of permanent transvenous electrode(s) by thoracotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1697.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50390", "description": "Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MNPJ CHEST WALL 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94667", "description": "MNPJ CHEST WALL 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroxine binding globulin (TBG)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84442", "description": "Thyroxine binding globulin (TBG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77301", "description": "Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2760.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0665", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6211", "description": "Foam dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3270.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic apheresis; for red blood cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36512", "description": "Therapeutic apheresis; for red blood cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT DSC ANT 1VRT SGM THRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22222", "description": "OSTEOT DSC ANT 1VRT SGM THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3341.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arteriovenous anastomosis, open; by upper arm cephalic vein transposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36818", "description": "Arteriovenous anastomosis, open; by upper arm cephalic vein transposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1147.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33391", "description": "Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3851.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Swingaway, detachable footrests, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0052", "description": "Swingaway, detachable footrests, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81230", "description": "CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene analysis, common variant(s) (eg, *2, *22)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR-T PREP T LYMPHCYT F/TRNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38226", "description": "CAR-T PREP T LYMPHCYT F/TRNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31290", "description": "Nasal/sinus endoscopy, surgical, with repair of cerebrospinal fluid leak; ethmoid region", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1751.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2211", "description": "Manual wheelchair accessory, pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of trichiasis; incision of lid margin, with free mucous membrane graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67835", "description": "Correction of trichiasis; incision of lid margin, with free mucous membrane graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 656.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90715", "description": "Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC ANXIETY DO MRNA 15 BMRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0437U", "description": "PSYC ANXIETY DO MRNA 15 BMRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with vein graft; intra-abdominal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35251", "description": "Repair blood vessel with vein graft; intra-abdominal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2859.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of intra-aortic balloon assist device, percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33967", "description": "Insertion of intra-aortic balloon assist device, percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95720", "description": "EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power pack base for use with electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0489", "description": "Power pack base for use with electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29303.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64680", "description": "Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT DISC ARTHRP 2NTRSPC LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22860", "description": "TOT DISC ARTHRP 2NTRSPC LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 628.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11441", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43201", "description": "Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WOUNDEX BIOSKIN PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4163", "description": "WOUNDEX BIOSKIN PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2209", "description": "Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, pleura, percutaneous needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32400", "description": "Biopsy, pleura, percutaneous needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44380", "description": "Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valproic acid (dipropylacetic acid); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80164", "description": "Valproic acid (dipropylacetic acid); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent; plantar common digital nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64632", "description": "Destruction by neurolytic agent; plantar common digital nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA typing; lymphocyte culture, mixed (MLC)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86821", "description": "HLA typing; lymphocyte culture, mixed (MLC)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diaphragm or cervical cap fitting with instructions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57170", "description": "Diaphragm or cervical cap fitting with instructions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27360", "description": "Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1537.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58400", "description": "Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61885", "description": "Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1036.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31085", "description": "Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1965.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9579", "description": "Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOMATRIXF3X PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4409", "description": "AMNIOMATRIXF3X PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 387.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrorrhaphy, suture of urethral wound or injury; penile", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53505", "description": "Urethrorrhaphy, suture of urethral wound or injury; penile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 293.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Androstanediol glucuronide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82154", "description": "Androstanediol glucuronide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystectomy with exploration of common duct; with choledochoenterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47612", "description": "Cholecystectomy with exploration of common duct; with choledochoenterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2180.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, interpretation; 9 to 15 markers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88188", "description": "Flow cytometry, interpretation; 9 to 15 markers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23130", "description": "Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prosthesis service for aphakia, temporary (disposable or loan, including materials)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92358", "description": "Prosthesis service for aphakia, temporary (disposable or loan, including materials)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium tc-99m sestamibi, diagnostic, per study dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9500", "description": "Technetium tc-99m sestamibi, diagnostic, per study dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX MONTEGGIA FX DISLC ELBW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24635", "description": "OPTX MONTEGGIA FX DISLC ELBW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1145.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Harvest of skin for tissue cultured skin autograft, 100 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15040", "description": "Harvest of skin for tissue cultured skin autograft, 100 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal and external, single column/group;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46255", "description": "Hemorrhoidectomy, internal and external, single column/group;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31622", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0153U", "description": "ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4739.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, powder, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4371", "description": "Ostomy skin barrier, powder, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92227", "description": "Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78016", "description": "Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0085", "description": "Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; facial nerve, differential or complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64742", "description": "Transection or avulsion of; facial nerve, differential or complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 734.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6253", "description": "Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76979", "description": "ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0043", "description": "Footrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76512", "description": "Ophthalmic ultrasound, diagnostic; B-scan (with or without superimposed non-quantitative A-scan)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9978", "description": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0581T", "description": "ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1027.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMT TH DSNT SITE FURN RHC/FQHC ONLY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2025", "description": "PMT TH DSNT SITE FURN RHC/FQHC ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS WHL GEN SEQ BLD/SLV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0336U", "description": "RARE DS WHL GEN SEQ BLD/SLV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3861.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caster pin lock, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0073", "description": "Caster pin lock, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11106", "description": "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of encephalocele, skull vault, including cranioplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62120", "description": "Repair of encephalocele, skull vault, including cranioplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4013.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2205", "description": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of sclerosant; single incompetent vein (other than telangiectasia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36470", "description": "Injection of sclerosant; single incompetent vein (other than telangiectasia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy vent, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4366", "description": "Ostomy vent, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLML REVSC TOT OCCL AMI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92941", "description": "PRQ TRLML REVSC TOT OCCL AMI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1070.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, teprotumumab-trbw, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3241", "description": "Injection, teprotumumab-trbw, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 520.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radial keratotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65771", "description": "Radial keratotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2393.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47700", "description": "Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1841.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tetanus immune globulin (TIg), human, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90389", "description": "Tetanus immune globulin (TIg), human, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PAL PALMITATE ER 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2427", "description": "INJECTION PAL PALMITATE ER 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19082", "description": "BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of ulnar shaft fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25545", "description": "Open treatment of ulnar shaft fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1064.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2371", "description": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, presumptive, pathogenic organisms, screening only;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87081", "description": "Culture, presumptive, pathogenic organisms, screening only;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, femur; 1 view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73551", "description": "Radiologic examination, femur; 1 view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70488", "description": "Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; mycoplasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86738", "description": "Antibody; mycoplasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of indwelling tunneled pleural catheter with cuff", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32552", "description": "Removal of indwelling tunneled pleural catheter with cuff", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mepivacaine HCl, per 10 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0670", "description": "Injection, mepivacaine HCl, per 10 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33202", "description": "Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1347.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22900", "description": "Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 991.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frames, purchases", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2020", "description": "Frames, purchases", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64454", "description": "INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREP CADAVER DONOR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47143", "description": "BKBENCH PREP CADAVER DONOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 730.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75860", "description": "Venography, venous sinus (eg, petrosal and inferior sagittal) or jugular, catheter, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92286", "description": "Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST DUX CARC 7 PROTEINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0295U", "description": "ONC BRST DUX CARC 7 PROTEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8152.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPM TX MGMT EA ADDL 20 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99458", "description": "RPM TX MGMT EA ADDL 20 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0268", "description": "Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with coloproctostomy (low pelvic anastomosis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44145", "description": "Colectomy, partial; with coloproctostomy (low pelvic anastomosis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2734.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24331", "description": "Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, knee; both knees, standing, anteroposterior", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73565", "description": "Radiologic examination, knee; both knees, standing, anteroposterior", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46280", "description": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 860.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87529", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEPATITIS D QUANTIFICATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87523", "description": "HEPATITIS D QUANTIFICATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 235.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 i.u.)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2790", "description": "Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 i.u.)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC TPVT ST SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37284", "description": "REVSC EVASC TPVT ST SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 837.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58541", "description": "Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1147.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 556.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 57.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97803", "description": "Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial femoral hernia, any age; incarcerated or strangulated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49553", "description": "Repair initial femoral hernia, any age; incarcerated or strangulated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1109.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87205", "description": "Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOLTUM DNA NGS SNV 22GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0523U", "description": "ONC SOLTUM DNA NGS SNV 22GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2028.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37238", "description": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 487.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESP SYNCYTIAL VIRUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87420", "description": "RESP SYNCYTIAL VIRUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, skull; complete, minimum of 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70260", "description": "Radiologic examination, skull; complete, minimum of 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrocystography, retrograde, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74450", "description": "Urethrocystography, retrograde, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5685.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention,language,memory,planning and problem solving", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96116", "description": "Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention,language,memory,planning and problem solving", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngectomy; total, with radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31365", "description": "Laryngectomy; total, with radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3905.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 169.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision dermoid cyst, nose; simple, skin, subcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30124", "description": "Excision dermoid cyst, nose; simple, skin, subcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2116.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98960", "description": "EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT PLMT&RMVL CEPD PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33370", "description": "TCAT PLMT&RMVL CEPD PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortoceliac or aortomesenteric", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35531", "description": "Bypass graft, with vein; aortoceliac or aortomesenteric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3245.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95870", "description": "NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77307", "description": "TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ METHYLPREDNISOLONE ACETATE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1010", "description": "INJ METHYLPREDNISOLONE ACETATE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57107", "description": "Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2362.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67010", "description": "Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 810.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51703", "description": "Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; with rotator cuff repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29827", "description": "Arthroscopy, shoulder, surgical; with rotator cuff repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1748.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patient lift, fixed system, includes all components/accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0640", "description": "Patient lift, fixed system, includes all components/accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14302", "description": "Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31647", "description": "BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 317.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating footrests, articulating (telescoping), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0053", "description": "Elevating footrests, articulating (telescoping), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastotomy with exploration or drainage of abscess, deep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19020", "description": "Mastotomy with exploration or drainage of abscess, deep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy irrigation supply; bag, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4398", "description": "Ostomy irrigation supply; bag, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; male, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0325", "description": "Urinal; male, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, innerspring", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0271", "description": "Mattress, innerspring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15131", "description": "DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BG ROLL EL MD STR P/LN Y W E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6598", "description": "GD CMP BG ROLL EL MD STR P/LN Y W E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58546", "description": "Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1739.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91117", "description": "COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2343", "description": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1532.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26123", "description": "FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1394.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33762", "description": "Shunt; descending aorta to pulmonary artery (Potts-Smith type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2208.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENOME RAPID SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0094U", "description": "GENOME RAPID SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11373.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61584", "description": "ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5299.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial laryngectomy (hemilaryngectomy); horizontal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31370", "description": "Partial laryngectomy (hemilaryngectomy); horizontal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3195.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUDT15 (nudix hydrolase 15) and TPMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0169U", "description": "NUDT15 (nudix hydrolase 15) and TPMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94011", "description": "Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49013", "description": "PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 753.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; glycosylated (A1C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83036", "description": "Hemoglobin; glycosylated (A1C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61597", "description": "TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5602.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEAVY METAL QUAN EACH NES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83018", "description": "HEAVY METAL QUAN EACH NES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0109", "description": "Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33211", "description": "Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29862", "description": "Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty, and/or resection of labrum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1359.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46922", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOSCOPY UPPER SMALL INTESTINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44360", "description": "ENDOSCOPY UPPER SMALL INTESTINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63265", "description": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3033.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD MACROBROTH DIL METH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87188", "description": "SC STD MACROBROTH DIL METH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis C antibody;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86803", "description": "Hepatitis C antibody;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG ALYS CHRML ABNR CGH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81228", "description": "CYTOG ALYS CHRML ABNR CGH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1350.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81552", "description": "ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11664.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72146", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1273.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI PROTEIN LOSS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78282", "description": "GI PROTEIN LOSS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NIPOCALIMAB-AAHU 3 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9256", "description": "INJ NIPOCALIMAB-AAHU 3 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78830", "description": "RP LOCLZJ TUM SPECT W/CT 1 AREA 1 DAY IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 636.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61108", "description": "Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for evacuation and/or drainage of subdural hematoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15830", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1910.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1049.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adrenal imaging, cortex and/or medulla", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78075", "description": "Adrenal imaging, cortex and/or medulla", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 632.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHORIPLY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4359", "description": "CHORIPLY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 623.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, leucovorin calcium, per 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0640", "description": "Injection, leucovorin calcium, per 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27842", "description": "Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 880.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51841", "description": "Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1255.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M NEW PATIENT 60 MINUTES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9485", "description": "REMOTE IN-HOME VISIT E/M NEW PATIENT 60 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastoidectomy; modified radical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69505", "description": "Mastoidectomy; modified radical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1994.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRF CM TCH-B SRVC VR C/I P/O Q HCP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2252", "description": "BRF CM TCH-B SRVC VR C/I P/O Q HCP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 43072.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bx Oral Soft Tiss (All Others)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "D7286", "description": "Bx Oral Soft Tiss (All Others)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MITOMYCIN INTRAVESICAL INST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9282", "description": "MITOMYCIN INTRAVESICAL INST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, surgical; debridement, limited", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29837", "description": "Arthroscopy, elbow, surgical; debridement, limited", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT AGT STI MULT AMP PRB TQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0402U", "description": "NFCT AGT STI MULT AMP PRB TQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN EXC/DSTR NTRA-ABD >30 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49190", "description": "OPN EXC/DSTR NTRA-ABD >30 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4773.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ELBOW JT AUTOG GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24802", "description": "ARTHRD ELBOW JT AUTOG GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1664.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV PREP INJ LENACAPAVIR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0738", "description": "HIV PREP INJ LENACAPAVIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epirubicin HCl, 2 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9178", "description": "Injection, epirubicin HCl, 2 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15829", "description": "Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6225.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immersion external heater for nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1372", "description": "Immersion external heater for nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BASIC METABOLIC PNL TOTAL CA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80048", "description": "BASIC METABOLIC PNL TOTAL CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 899.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FXN GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0233U", "description": "FXN GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43755", "description": "GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, eptifibatide, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1327", "description": "Injection, eptifibatide, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2219", "description": "Manual wheelchair accessory, foam caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99308", "description": "SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81265", "description": "COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92557", "description": "Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heparin-protamine tolerance test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85530", "description": "Heparin-protamine tolerance test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursing facility discharge day management; more than 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99316", "description": "Nursing facility discharge day management; more than 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electric heat pad, moist", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0215", "description": "Electric heat pad, moist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy, with biopsy(ies) of pleura", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32098", "description": "Thoracotomy, with biopsy(ies) of pleura", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1310.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; phalanx of finger, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26567", "description": "Osteotomy; phalanx of finger, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1250.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19083", "description": "BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis A vaccine (HepA), adult dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90632", "description": "Hepatitis A vaccine (HepA), adult dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN EXC/DST NTRA-ABD 20.1-30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49189", "description": "OPN EXC/DST NTRA-ABD 20.1-30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3886.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0673", "description": "Segmental gradient pressure pneumatic appliance, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 430.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61314", "description": "Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3387.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27041", "description": "Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36823", "description": "INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2409.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of laceration, vestibule of mouth; 2.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40830", "description": "Closure of laceration, vestibule of mouth; 2.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, doxorubicin HCl, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9000", "description": "Injection, doxorubicin HCl, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27324", "description": "Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 724.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19282", "description": "PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ascorbic acid (Vitamin C), blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82180", "description": "Ascorbic acid (Vitamin C), blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81437", "description": "HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture of oocyte(s)/embryo(s), less than 4 days;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89250", "description": "Culture of oocyte(s)/embryo(s), less than 4 days;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 991.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2365", "description": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97533", "description": "Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4268", "description": "SURGRAFT FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92082", "description": "VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION NITROGLYCERIN 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2305", "description": "INJECTION NITROGLYCERIN 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32601", "description": "Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 524.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9004", "description": "Parenteral nutrition infusion pump, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 886.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEMODERM TRANZGRAFT/INTEGUPLY SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4126", "description": "MEMODERM TRANZGRAFT/INTEGUPLY SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, 1 or more liver tumor(s), percutaneous, cryoablation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47383", "description": "Ablation, 1 or more liver tumor(s), percutaneous, cryoablation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58542", "description": "Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1300.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64859", "description": "Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28124", "description": "Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19298", "description": "PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 449.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, temsirolimus, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9330", "description": "Injection, temsirolimus, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chlorinated hydrocarbons, screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82441", "description": "Chlorinated hydrocarbons, screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; over 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50081", "description": "Percutaneous nephrostolithotomy or pyelostolithotomy, with or without dilation, endoscopy, lithotripsy, stenting, or basket extraction; over 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1746.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tonsillectomy, primary or secondary; age 12 or over", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42826", "description": "Tonsillectomy, primary or secondary; age 12 or over", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TRCT US W/MRI FUS 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55708", "description": "BX PRST8 TRCT US W/MRI FUS 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 295.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alpha-fetoprotein (AFP); serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82105", "description": "Alpha-fetoprotein (AFP); serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4939.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61514", "description": "Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3516.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81234", "description": "DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1087", "description": "High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 156.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leuprolide acetate, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9218", "description": "Leuprolide acetate, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; facial prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21088", "description": "Impression and custom preparation; facial prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1828.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Emergency power source for use with electric ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0490", "description": "Emergency power source for use with electric ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1267.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLEX E/M VISIT ADD ON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2211", "description": "COMPLEX E/M VISIT ADD ON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEAVY METAL QUAL ANY NUMBER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83015", "description": "HEAVY METAL QUAL ANY NUMBER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, stationary", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9006", "description": "Parenteral nutrition infusion pump, stationary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5601.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57250", "description": "Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 966.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82658", "description": "Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; radioactive substrate, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63307", "description": "VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4415.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64712", "description": "Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Consultation and report on referred material requiring preparation of slides", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88323", "description": "Consultation and report on referred material requiring preparation of slides", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81245", "description": "FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99309", "description": "SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cytomegalovirus immune globulin intravenous (human), per vial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0850", "description": "Injection, cytomegalovirus immune globulin intravenous (human), per vial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2559.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0670", "description": "Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with open intrapleural pneumonolysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32124", "description": "Thoracotomy; with open intrapleural pneumonolysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1634.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15946", "description": "Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2621.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, onabotulinumtoxinA, 1 unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0585", "description": "Injection, onabotulinumtoxinA, 1 unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2223.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4431", "description": "Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86828", "description": "ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC THYR DNA&MRNA 112 GENES FNA NDUL ALG ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0026U", "description": "ONC THYR DNA&MRNA 112 GENES FNA NDUL ALG ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30435", "description": "Rhinoplasty, secondary; intermediate revision (bony work with osteotomies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2301.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0049U", "description": "NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 611.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GJB6 GENE ANALYSIS COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81254", "description": "GJB6 GENE ANALYSIS COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chinstrap used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7036", "description": "Chinstrap used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL SBDLTD CLCREOUS DEP OPN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23000", "description": "RMVL SBDLTD CLCREOUS DEP OPN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 595.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50329", "description": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, carfilzomib, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9047", "description": "Injection, carfilzomib, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 974.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, lincomycin HCl, up to 300 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2010", "description": "Injection, lincomycin HCl, up to 300 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7612", "description": "Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83661", "description": "Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93270", "description": "XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scrotoplasty; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55180", "description": "Scrotoplasty; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1091.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0667", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dry pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0184", "description": "Dry pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N. GONORRHOEAE ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87850", "description": "N. GONORRHOEAE ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3723.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2510", "description": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1446.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7048", "description": "Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; cryptosporidium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87272", "description": "Infectious agent antigen detection by immunofluorescent technique; cryptosporidium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0301", "description": "Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy; intertarsal or tarsometatarsal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28070", "description": "Synovectomy; intertarsal or tarsometatarsal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 572.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95782", "description": "Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1594.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Everolimus, oral, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7527", "description": "Everolimus, oral, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV pole", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0776", "description": "IV pole", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, guselkumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1628", "description": "Injection, guselkumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68420", "description": "Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45303", "description": "Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO EST SF 10", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98004", "description": "SYNCH AUDIO-VIDEO EST SF 10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0054T", "description": "CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, includes pads", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0225", "description": "Hydrocollator unit, includes pads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43645", "description": "Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3143.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17311", "description": "MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure salivary fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42600", "description": "Closure salivary fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiology, ceramides by liquid chromatography-tandem mass spectrometry report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0119U", "description": "Cardiology, ceramides by liquid chromatography-tandem mass spectrometry report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82787", "description": "Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6242", "description": "Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, elevating legrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0990", "description": "Wheelchair accessory, elevating legrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77771", "description": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 737.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47370", "description": "Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2136.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIN CARE MGMT STAFF 1ST 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99426", "description": "PRIN CARE MGMT STAFF 1ST 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, valrubicin, intravesical, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9357", "description": "Injection, valrubicin, intravesical, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1797.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2388", "description": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0733", "description": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33500", "description": "Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2701.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dalbavancin, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0875", "description": "Injection, dalbavancin, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0402", "description": "Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PYELOPLASTY SIMPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50400", "description": "PYELOPLASTY SIMPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1801.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 567.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPINEPHRINE IN NACL BAXTER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0164", "description": "EPINEPHRINE IN NACL BAXTER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of vaginal cyst or tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57135", "description": "Excision of vaginal cyst or tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 299.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discission of vitreous strands (without removal), pars plana approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67030", "description": "Discission of vitreous strands (without removal), pars plana approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 854.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 132.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration of hepatitis B vaccine", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0010", "description": "Administration of hepatitis B vaccine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS P-S DNA&RNA 12 TRGTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0556U", "description": "NFCT DS P-S DNA&RNA 12 TRGTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implanted intra-arterial infusion pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36262", "description": "Removal of implanted intra-arterial infusion pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 575.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0110", "description": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMM HLTH INTEG SRV E ADD 30MIN MTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0022", "description": "COMM HLTH INTEG SRV E ADD 30MIN MTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90962", "description": "ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR TA DPLMT MLTPC SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33882", "description": "EVASC RPR TA DPLMT MLTPC SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3195.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2630", "description": "Wheelchair accessory, shoulder elbow, mobile arm support, monosuspension arm and hand support, overhead elbow forearm hand sling support, yoke type suspension support", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.81, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, rigid, transoral; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43194", "description": "Esophagoscopy, rigid, transoral; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement lens shield cartridge for use with laser skin piercing device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4257", "description": "Replacement lens shield cartridge for use with laser skin piercing device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN TUM WHL GEN SEQ DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0297U", "description": "ONC PAN TUM WHL GEN SEQ DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3595.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27333", "description": "Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1012.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision exostosis(es), external auditory canal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69140", "description": "Excision exostosis(es), external auditory canal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1492.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0371", "description": "Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26842", "description": "Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1462.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2105", "description": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, human fibrinogen concentrate (fibryga), 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7177", "description": "Injection, human fibrinogen concentrate (fibryga), 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34708", "description": "EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3023.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Punch graft for hair transplant; 1 to 15 punch grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15775", "description": "Punch graft for hair transplant; 1 to 15 punch grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture repair of aorta or great vessels; with shunt bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33321", "description": "Suture repair of aorta or great vessels; with shunt bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2075.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 267.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muscle transfer, any type, shoulder or upper arm; multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23397", "description": "Muscle transfer, any type, shoulder or upper arm; multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1873.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST FINGER FLEXION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1827", "description": "ADJUST FINGER FLEXION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION IG IV NON-LYOPH 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1576", "description": "INJECTION IG IV NON-LYOPH 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0960", "description": "Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Primidone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80188", "description": "Primidone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SPHRD CELL CUL 12 RX PNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0248U", "description": "ONC SPHRD CELL CUL 12 RX PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4550.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ TRLUML ANGP NT/RECR COA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33897", "description": "PERQ TRLUML ANGP NT/RECR COA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 913.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheterization with bronchial brush biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31717", "description": "Catheterization with bronchial brush biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatectomy, resection of liver; total left lobectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47125", "description": "Hepatectomy, resection of liver; total left lobectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5161.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fissurectomy, including sphincterotomy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46200", "description": "Fissurectomy, including sphincterotomy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 618.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PFAS24CMPND HI-PERF LC-MS/MS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0589U", "description": "PFAS24CMPND HI-PERF LC-MS/MS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36585", "description": "Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97116", "description": "Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, transrectal;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76872", "description": "Ultrasound, transrectal;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0160", "description": "Sitz type bath or equipment, portable, used with or without commode", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69310", "description": "Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1837.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOSCOPIC PLANTR FASCIOTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29893", "description": "ENDOSCOPIC PLANTR FASCIOTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 725.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0058U", "description": "Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46917", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0040U", "description": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis, major breakpoint, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 614.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61619", "description": "SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2962.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoplasty, plastic operation for stricture; infant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46705", "description": "Anoplasty, plastic operation for stricture; infant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1047.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRICHOMONAS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87808", "description": "TRICHOMONAS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17276", "description": "DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Organic acid, single, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83921", "description": "Organic acid, single, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, elastography; first target lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76982", "description": "Ultrasound, elastography; first target lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL SHORT ARM SPLINT STATIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29125", "description": "APPL SHORT ARM SPLINT STATIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transport chair, adult size, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1038", "description": "Transport chair, adult size, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58150", "description": "Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1672.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRGT GEN SEQ ALYS PNL 55-74", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0242U", "description": "TRGT GEN SEQ ALYS PNL 55-74", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7500.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, midazolam HCl, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2250", "description": "Injection, midazolam HCl, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Induced abortion, by dilation and curettage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59840", "description": "Induced abortion, by dilation and curettage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 371.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginectomy, partial removal of vaginal wall;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57106", "description": "Vaginectomy, partial removal of vaginal wall;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, risperidone, (perseris), 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2798", "description": "Injection, risperidone, (perseris), 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DX DARK ADAPTATION EXAM I R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92284", "description": "DX DARK ADAPTATION EXAM I R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11107", "description": "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, D-5-W, 1,000 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7070", "description": "Infusion, D-5-W, 1,000 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL NINFCT MESH HERNIA RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49623", "description": "RMVL NINFCT MESH HERNIA RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 337.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary bladder residual study (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78730", "description": "Urinary bladder residual study (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ratchet assembly, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0050", "description": "Ratchet assembly, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ustekinumab, for intravenous injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3358", "description": "Ustekinumab, for intravenous injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antistreptolysin 0; screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86063", "description": "Antistreptolysin 0; screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical closure tracheostomy or fistula; with plastic repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31825", "description": "Surgical closure tracheostomy or fistula; with plastic repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 758.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15273", "description": "APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with rhizotomy; 1 or 2 segments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63185", "description": "Laminectomy with rhizotomy; 1 or 2 segments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2331.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty and/or transposition; median nerve at carpal tunnel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64721", "description": "Neuroplasty and/or transposition; median nerve at carpal tunnel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 757.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED HOME APNEA MNTR EVNT REC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94774", "description": "PED HOME APNEA MNTR EVNT REC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 581.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; platelet depletion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38213", "description": "Transplant preparation of hematopoietic progenitor cells; platelet depletion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64495", "description": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89322", "description": "Semen analysis; volume, count, motility, and differential using strict morphologic criteria (eg, Kruger)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87650", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0135", "description": "Walker, folding (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CETIRIZINE HYDROCHLORIDE 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1201", "description": "INJ CETIRIZINE HYDROCHLORIDE 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAMPART DL MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4347", "description": "RAMPART DL MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88165", "description": "Cytopathology, slides, cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, gas permeable, toric, prism ballast, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2511", "description": "Contact lens, gas permeable, toric, prism ballast, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC GNOTYP ERMAP EXONS 4 12", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0199U", "description": "SC GNOTYP ERMAP EXONS 4 12", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedures to improve respiratory function, other than described by G0237, one-on-one, face-to-face, per 15 minutes (includes monitoring)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0238", "description": "Therapeutic procedures to improve respiratory function, other than described by G0237, one-on-one, face-to-face, per 15 minutes (includes monitoring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rheumatoid factor; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86431", "description": "Rheumatoid factor; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphocytotoxicity assay, visual crossmatch; with titration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86805", "description": "Lymphocytotoxicity assay, visual crossmatch; with titration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESANO AAA, PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4273", "description": "ESANO AAA, PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87253", "description": "Virus isolation; tissue culture, additional studies or definitive identification (eg, hemabsorption, neutralization, immunofluorescence stain), each isolate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alglucosidase alfa, (Lumizyme), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0221", "description": "Injection, alglucosidase alfa, (Lumizyme), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 293.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, aldesleukin, per single use vial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9015", "description": "Injection, aldesleukin, per single use vial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2986.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTR CUT VSC PRLF LES>50SQCM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17108", "description": "DSTR CUT VSC PRLF LES>50SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ipilimumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9228", "description": "Injection, ipilimumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synthetic sheepskin pad", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0188", "description": "Synthetic sheepskin pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGSAP SO/HL 51/< RNA ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81456", "description": "TGSAP SO/HL 51/< RNA ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63272", "description": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3447.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arm pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0019", "description": "Arm pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLETE SL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4270", "description": "COMPLETE SL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUMMIT AAA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4397", "description": "SUMMIT AAA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2389", "description": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93264", "description": "REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medication list documented in medical record (COA)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "1159F", "description": "Medication list documented in medical record (COA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99374", "description": "SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 589.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External ambulatory infusion pump, insulin", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0784", "description": "External ambulatory infusion pump, insulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 836.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, includes canes of all materials, adjustable or fixed, with tip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0100", "description": "Cane, includes canes of all materials, adjustable or fixed, with tip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.91, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27497", "description": "Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 990.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine kinase (CK), (CPK); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82550", "description": "Creatine kinase (CK), (CPK); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, mandible, segmental; with genioglossus advancement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21199", "description": "Osteotomy, mandible, segmental; with genioglossus advancement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1593.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67405", "description": "Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1397.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBD MIN DSC CRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22554", "description": "ARTHRD ANT NTRBD MIN DSC CRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2254.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CORPLEX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4232", "description": "CORPLEX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54324", "description": "1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1517.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; partial, with unilateral radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41135", "description": "Glossectomy; partial, with unilateral radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3380.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31540", "description": "Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 77.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIODFENCE DRYFLEX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4138", "description": "BIODFENCE DRYFLEX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87637", "description": "Infectious agent detection by nucleic acid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28645", "description": "Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 807.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81111", "description": "HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DO GNOTYP ART4 EXON 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0184U", "description": "DO GNOTYP ART4 EXON 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatinine; clearance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82575", "description": "Creatinine; clearance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32560", "description": "Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARTIAL EXCISION DEEP PELVIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27071", "description": "PARTIAL EXCISION DEEP PELVIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1643.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in, but less than or equal to 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6232", "description": "Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq in, but less than or equal to 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6069.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95972", "description": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11005", "description": "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1264.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70480", "description": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin barrier; solid, 4 x 4 or equivalent; each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4362", "description": "Skin barrier; solid, 4 x 4 or equivalent; each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of halo, including removal; cranial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20661", "description": "Application of halo, including removal; cranial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1013.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87207", "description": "Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPLICATION CAST FINGER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29086", "description": "APPLICATION CAST FINGER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33780", "description": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with closure of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3994.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58615", "description": "Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2359", "description": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 283.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0666", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 283.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67039", "description": "Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1397.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71550", "description": "Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 435.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76801", "description": "US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; tumor cell depletion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38211", "description": "Transplant preparation of hematopoietic progenitor cells; tumor cell depletion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; definitive obturator prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21080", "description": "Impression and custom preparation; definitive obturator prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2018.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mifepristone, oral, 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "S0190", "description": "Mifepristone, oral, 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; orbital prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21077", "description": "Impression and custom preparation; orbital prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2645.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81296", "description": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 506.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93657", "description": "ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 474.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTACENT WOUND PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4169", "description": "ARTACENT WOUND PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray with drainage bag but without catheter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4354", "description": "Insertion tray with drainage bag but without catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64462", "description": "PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, with primary suture; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15933", "description": "Excision, sacral pressure ulcer, with primary suture; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1484.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0973", "description": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55876", "description": "Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Zika virus, IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86794", "description": "Antibody; Zika virus, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BASIC METABLC PNL IONIZED CA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80047", "description": "BASIC METABLC PNL IONIZED CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of median sternotomy separation with or without debridement (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21750", "description": "Closure of median sternotomy separation with or without debridement (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1200.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 131.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, obinutuzumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9301", "description": "Injection, obinutuzumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myocardial imaging, infarct avid, planar; qualitative or quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78466", "description": "Myocardial imaging, infarct avid, planar; qualitative or quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47785", "description": "Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5427.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, chlorpromazine HCl, up to 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3230", "description": "Injection, chlorpromazine HCl, up to 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93788", "description": "AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cortisol; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82533", "description": "Cortisol; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with steroid injection into stricture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52283", "description": "Cystourethroscopy, with steroid injection into stricture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61526", "description": "Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5591.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1840", "description": "Dynamic adjustable shoulder flexion/abduction/rotation device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 818.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BALO ANGIOPLASTY ICR PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61630", "description": "BALO ANGIOPLASTY ICR PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2330.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80439", "description": "Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50437", "description": "PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 389.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73522", "description": "Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19302", "description": "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1579.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68335", "description": "Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 957.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46614", "description": "Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90677", "description": "Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 442.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44370", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 176.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DECOMPRESSION UNSPEC NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64722", "description": "DECOMPRESSION UNSPEC NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 673.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exposure of prostate, any approach, for insertion of radioactive substance;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55860", "description": "Exposure of prostate, any approach, for insertion of radioactive substance;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33776", "description": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3372.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, irrigation or revision of lumbosubarachnoid shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63744", "description": "Replacement, irrigation or revision of lumbosubarachnoid shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1381.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of tracheal wound or injury; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31800", "description": "Suture of tracheal wound or injury; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY EST SF 10", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98012", "description": "SYNCH AUDIO-ONLY EST SF 10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ AV FSTL CRT UXTR SEP ACS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36837", "description": "PRQ AV FSTL CRT UXTR SEP ACS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 705.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Realignment of extensor tendon, hand, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26437", "description": "Realignment of extensor tendon, hand, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1159.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY FELBAMATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80167", "description": "DRUG ASSAY FELBAMATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96450", "description": "Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88740", "description": "Hemoglobin, quantitative, transcutaneous, per day; carboxyhemoglobin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15278", "description": "SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM ADL 100SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78453", "description": "MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 389.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42844", "description": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2169.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 743.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Press-on lens, Fresnel prism, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2718", "description": "Press-on lens, Fresnel prism, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86318", "description": "Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (eg, reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0069", "description": "Rear wheel assembly, complete, with solid tire, spokes or molded, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC THYR DNA&MRNA 112 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0287U", "description": "ONC THYR DNA&MRNA 112 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2404.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, non-electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0629", "description": "Seat lift mechanism, non-electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 324.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ESMOLOL HCL WG CRIT CARE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1806", "description": "INJ ESMOLOL HCL WG CRIT CARE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including CT guidance; first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10009", "description": "Fine needle aspiration biopsy, including CT guidance; first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD CARBAPENEM RESIST GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87183", "description": "SC STD CARBAPENEM RESIST GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63101", "description": "VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4155.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61864", "description": "STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93461", "description": "R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1656.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 755.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aprepitant, oral, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8501", "description": "Aprepitant, oral, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Other manual wheelchair/base", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0009", "description": "Other manual wheelchair/base", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACETYLCHOLN RCPTR BNDNG ANTB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86041", "description": "ACETYLCHOLN RCPTR BNDNG ANTB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0800", "description": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral destruction of prostate tissue; by microwave thermotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53850", "description": "Transurethral destruction of prostate tissue; by microwave thermotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 579.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0615", "description": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat height from floor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1296", "description": "Special wheelchair seat height from floor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Recipient nephrectomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50340", "description": "Recipient nephrectomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1709.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMM CNSL NOT ADMN SM>20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90484", "description": "IMM CNSL NOT ADMN SM>20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of cystostomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51880", "description": "Closure of cystostomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AI DS SLE ALYS 10 CYTOKINE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0446U", "description": "AI DS SLE ALYS 10 CYTOKINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electro-oculography with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92270", "description": "Electro-oculography with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of interdental fixation device for conditions other than fracture or dislocation, includes removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21110", "description": "Application of interdental fixation device for conditions other than fracture or dislocation, includes removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1190.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49424", "description": "Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23670", "description": "Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1467.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of ulnar styloid fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25650", "description": "Closed treatment of ulnar styloid fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 581.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62292", "description": "Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 883.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99345", "description": "HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 358.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87495", "description": "Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92012", "description": "Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 180.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trabeculoplasty by laser surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65855", "description": "Trabeculoplasty by laser surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 294.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63016", "description": "LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2741.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of 1 nerve; ulnar motor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64836", "description": "Suture of 1 nerve; ulnar motor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1356.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sacroiliac joints; less than 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72200", "description": "Radiologic examination, sacroiliac joints; less than 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 321.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEQUESTRECTOMY SCAPULA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23172", "description": "SEQUESTRECTOMY SCAPULA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 978.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27381", "description": "Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1390.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLACEMENT ADJUSTABLE SUTURE STRABISMUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67335", "description": "PLACEMENT ADJUSTABLE SUTURE STRABISMUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81420", "description": "FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLOSTRIDIUM TOXIN A W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87803", "description": "CLOSTRIDIUM TOXIN A W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheoplasty; intrathoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31760", "description": "Tracheoplasty; intrathoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2392.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tape, nonwaterproof, per 18 sq in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4450", "description": "Tape, nonwaterproof, per 18 sq in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "AW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47362", "description": "Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2429.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; hematocrit (Hct)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85014", "description": "Blood count; hematocrit (Hct)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87551", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88365", "description": "In situ hybridization (eg, FISH), per specimen; initial single probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62115", "description": "Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3173.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), limited, gross and/or microscopic; single organ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88037", "description": "Necropsy (autopsy), limited, gross and/or microscopic; single organ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 229.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3496.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88112", "description": "Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27720", "description": "Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1452.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2212", "description": "Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79403", "description": "Radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35103", "description": "DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3605.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73523", "description": "Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2109", "description": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION NALOXONE HCL NOS 0.01MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2312", "description": "INJECTION NALOXONE HCL NOS 0.01MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face tent", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4619", "description": "Face tent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28605", "description": "Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 559.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEGATIVE PRESSURE WOUND THERAPY DME ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92014", "description": "OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of entropion; suture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67921", "description": "Repair of entropion; suture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 480.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2510", "description": "Speech generating device, synthesized speech, permitting multiple methods of message formulation and multiple methods of device access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10851.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluorescein angioscopy with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92230", "description": "Fluorescein angioscopy with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCM BIOLOGIC TISSUE MATRIX PER SQ C", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4142", "description": "XCM BIOLOGIC TISSUE MATRIX PER SQ C", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of testis, incisional (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54505", "description": "Biopsy of testis, incisional (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 337.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, headrest extension, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0966", "description": "Manual wheelchair accessory, headrest extension, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "C-reactive protein;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86140", "description": "C-reactive protein;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION VASOPRESSIN 1 UNIT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2598", "description": "INJECTION VASOPRESSIN 1 UNIT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HAST W/I R PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94452", "description": "HAST W/I R PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of femur; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27356", "description": "Excision or curettage of bone cyst or benign tumor of femur; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1250.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 30 minutes with patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90832", "description": "Psychotherapy, 30 minutes with patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation a", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92228", "description": "Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation a", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88366", "description": "In situ hybridization (eg, FISH), per specimen; each multiplex probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1190", "description": "Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; lymphocytic choriomeningitis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86727", "description": "Antibody; lymphocytic choriomeningitis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2632", "description": "Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 315.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0455", "description": "Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoperative colonic lavage (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44701", "description": "Intraoperative colonic lavage (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous anastomosis, open; renoportal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37145", "description": "Venous anastomosis, open; renoportal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3639.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4009", "description": "Cast supplies, short arm cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2323", "description": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95961", "description": "FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70558", "description": "MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CAST SHOULDER SPICA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29055", "description": "APPL CAST SHOULDER SPICA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AEP THRSHLD EST MLT FREQ I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92652", "description": "AEP THRSHLD EST MLT FREQ I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94013", "description": "MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EPINEPHRINE HOSPIRA NT EQ J0165", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0167", "description": "INJ EPINEPHRINE HOSPIRA NT EQ J0165", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96159", "description": "HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36225", "description": "SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blepharoplasty, lower eyelid;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15820", "description": "Blepharoplasty, lower eyelid;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0007U", "description": "RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tildrakizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3245", "description": "Injection, tildrakizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENERAL HEALTH PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80050", "description": "GENERAL HEALTH PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2341", "description": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1149.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11442", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44143", "description": "Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2781.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilateral hip, knee, ankle, foot (H", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K1007", "description": "Bilateral hip, knee, ankle, foot (H", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142621.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40812", "description": "Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 295.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35092", "description": "DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4200.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27045", "description": "Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1247.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRYPTOSPORIDIUM AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87328", "description": "CRYPTOSPORIDIUM AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special height arms for wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1227", "description": "Special height arms for wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubing with integrated heating element for use with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4604", "description": "Tubing with integrated heating element for use with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67971", "description": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, 1 stage or first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1049.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCPT RMT ASYNC IMG 10-20 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9869", "description": "RCPT RMT ASYNC IMG 10-20 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLT TRURL PRST8 TIS THRM US", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55881", "description": "ABLT TRURL PRST8 TIS THRM US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 747.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28160", "description": "Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Postpartum care only (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59430", "description": "Postpartum care only (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High strength lightweight wheelchair, detachable arms desk or full-length, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1088", "description": "High strength lightweight wheelchair, detachable arms desk or full-length, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparotomy for islet cell transplant, includes portal vein catheterization and infusion", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0343", "description": "Laparotomy for islet cell transplant, includes portal vein catheterization and infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2129.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Monitor control cable for use with electric ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0485", "description": "Monitor control cable for use with electric ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 633.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81238", "description": "F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID19 Immunoassay for infectious agent antibody(ies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86328", "description": "SARS-COV-2 COVID19 Immunoassay for infectious agent antibody(ies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27477", "description": "Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1234.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1016.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63277", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2813.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61581", "description": "Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and/or maxillectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4156.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61585", "description": "ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6132.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2388", "description": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, indirect; with vocal cord injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31513", "description": "Laryngoscopy, indirect; with vocal cord injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, ischial pressure ulcer, with skin flap closure; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15945", "description": "Excision, ischial pressure ulcer, with skin flap closure; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1652.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27570", "description": "Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38900", "description": "INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of polydactylous digit, soft tissue and bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26587", "description": "Reconstruction of polydactylous digit, soft tissue and bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1744.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52305", "description": "Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 426.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 536.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 807.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27602", "description": "Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 806.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25150", "description": "Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 956.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90670", "description": "Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 365.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL HPGLSL NSTIM ARY PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64584", "description": "RMVL HPGLSL NSTIM ARY PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1110.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chiropractic manipulative treatment (CMT); spinal, 3-4 regions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98941", "description": "Chiropractic manipulative treatment (CMT); spinal, 3-4 regions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supplies for external insulin infusion pump, syringe type cartridge, sterile, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4225", "description": "Supplies for external insulin infusion pump, syringe type cartridge, sterile, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MANUAL PREP&INSJ I-ARTIC DRUG DELIVERY DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20704", "description": "MANUAL PREP&INSJ I-ARTIC DRUG DELIVERY DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HCC NGS DETC 6626EPIGALT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0565U", "description": "ONC HCC NGS DETC 6626EPIGALT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1740.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50382", "description": "Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0484T", "description": "Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg, thoracotomy, transapical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2750.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin, chorionic (hCG); qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84703", "description": "Gonadotropin, chorionic (hCG); qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DBRDMT FX&/DISLC SUBQ T/M/F BONE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11012", "description": "DBRDMT FX&/DISLC SUBQ T/M/F BONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 648.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 137.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLETE AA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4303", "description": "COMPLETE AA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63086", "description": "VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SIGNATURE APATCH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4260", "description": "SIGNATURE APATCH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83020", "description": "Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST ELBOW EXTENSION DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1803", "description": "ADJUST ELBOW EXTENSION DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of orbital floor blowout fracture; periorbital approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21386", "description": "Open treatment of orbital floor blowout fracture; periorbital approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1124.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5429.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; identification by pulse field gel typing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87152", "description": "Culture, typing; identification by pulse field gel typing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7613", "description": "Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4164", "description": "Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit), home mix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter, nondisposable, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7039", "description": "Filter, nondisposable, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70470", "description": "Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2877.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopy, wrist, surgical, with release of transverse carpal ligament", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29848", "description": "Endoscopy, wrist, surgical, with release of transverse carpal ligament", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 246.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12004", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fentanyl citrate, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3010", "description": "Injection, fentanyl citrate, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pericardiectomy, subtotal or complete; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33030", "description": "Pericardiectomy, subtotal or complete; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3420.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81238", "description": "F9 (coagulation factor IX) (eg, hemophilia B), full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheal suction catheter, any type other than closed system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4624", "description": "Tracheal suction catheter, any type other than closed system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43773", "description": "Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2205.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DENOSUMAB-BBDZ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5136", "description": "INJ DENOSUMAB-BBDZ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 936.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TAG PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4261", "description": "TAG PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN IMPLTJ CRNL NRV NEA&PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64568", "description": "OPN IMPLTJ CRNL NRV NEA&PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1225.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CURAMATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4440", "description": "CURAMATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 153.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subconjunctival injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68200", "description": "Subconjunctival injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US VASC ACCESS SITS VSL PATENCY NDL ENTRY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76937", "description": "US VASC ACCESS SITS VSL PATENCY NDL ENTRY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carpectomy; all bones of proximal row", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25215", "description": "Carpectomy; all bones of proximal row", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1031.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture, frame, dual with cross bars, attached to bed, (e.g., Balken, 4 Poster)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0946", "description": "Fracture, frame, dual with cross bars, attached to bed, (e.g., Balken, 4 Poster)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33958", "description": "ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAP SRG PRST8CT LYMPH NOD BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55868", "description": "LAP SRG PRST8CT LYMPH NOD BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1932.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69801", "description": "Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61735", "description": "CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2973.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84479", "description": "Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV OTH/THN V-BAND", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43843", "description": "GSTR RSTCV OTH/THN V-BAND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2207.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrorrhaphy, suture of kidney wound or injury", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50500", "description": "Nephrorrhaphy, suture of kidney wound or injury", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2214.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90471", "description": "Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95170", "description": "PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49014", "description": "REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 634.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ RX ELUT IMPLT LAC CANAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68841", "description": "INSJ RX ELUT IMPLT LAC CANAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92621", "description": "Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54430", "description": "Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1015.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of implantable defibrillator pulse generator only; with existing single lead", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33240", "description": "Insertion of implantable defibrillator pulse generator only; with existing single lead", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, baclofen, 50 mcg for intrathecal trial", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0476", "description": "Injection, baclofen, 50 mcg for intrathecal trial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of scrotal wall abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55100", "description": "Drainage of scrotal wall abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, temporomandibular joint, surgical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29804", "description": "Arthroscopy, temporomandibular joint, surgical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 950.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of 1 nerve; hand or foot, common sensory nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64834", "description": "Suture of 1 nerve; hand or foot, common sensory nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1172.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88313", "description": "SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94618", "description": "Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4014", "description": "Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63064", "description": "Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3156.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of aberrant vessel (vascular ring); with reanastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33803", "description": "Division of aberrant vessel (vascular ring); with reanastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1980.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of tunica vaginalis hydrocele (Bottle type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55060", "description": "Repair of tunica vaginalis hydrocele (Bottle type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 620.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstructive repair of pectus excavatum or carinatum; open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21740", "description": "Reconstructive repair of pectus excavatum or carinatum; open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1802.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, deferoxamine mesylate, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0895", "description": "Injection, deferoxamine mesylate, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63250", "description": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5391.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage external ear, abscess or hematoma; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69005", "description": "Drainage external ear, abscess or hematoma; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 82.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AEP NEURODIAGNOSTIC I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92653", "description": "AEP NEURODIAGNOSTIC I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, neck; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70548", "description": "Magnetic resonance angiography, neck; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33203", "description": "Insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, pericardioscopy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1404.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluoride", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82735", "description": "Fluoride", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg cast, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4039", "description": "Cast supplies, short leg cast, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of bone flap or prosthetic plate of skull", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62142", "description": "Removal of bone flap or prosthetic plate of skull", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1690.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography via lumbar injection, including radiological supervision and interpretation; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62303", "description": "Myelography via lumbar injection, including radiological supervision and interpretation; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nasolabial fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42260", "description": "Repair of nasolabial fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1033.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; superficial femoral artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35302", "description": "Thromboendarterectomy, including patch graft, if performed; superficial femoral artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1852.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; dural, simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61690", "description": "Surgery of intracranial arteriovenous malformation; dural, simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4027.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine kinase (CK), (CPK); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82550", "description": "Creatine kinase (CK), (CPK); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3458.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VENDAJE AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4279", "description": "VENDAJE AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23490", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1438.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone and/or joint imaging; whole body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78306", "description": "Bone and/or joint imaging; whole body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2628", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUMRL SHFT FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24505", "description": "CLTX HUMRL SHFT FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 851.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 64.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87640", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG SUBCLAVIAN-SUBCLAVIAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35612", "description": "BPG SUBCLAVIAN-SUBCLAVIAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1745.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STREP A AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87430", "description": "STREP A AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0419T", "description": "Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS XOM DNA ALYS PROBAND", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0214U", "description": "RARE DS XOM DNA ALYS PROBAND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7836.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of hamstring tendon; multiple tendons, bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27395", "description": "Lengthening of hamstring tendon; multiple tendons, bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1476.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, cleft foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28360", "description": "Reconstruction, cleft foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1840.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 711.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic manipulative treatment (OMT); 1-2 body regions involved", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98925", "description": "Osteopathic manipulative treatment (OMT); 1-2 body regions involved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arm pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0019", "description": "Arm pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45350", "description": "Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61790", "description": "Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1687.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81328", "description": "SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90685", "description": "Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36582", "description": "Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 459.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, trastuzumab, excludes biosimilar, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9355", "description": "Injection, trastuzumab, excludes biosimilar, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal impacted cerumen using irrigation/lavage, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69209", "description": "Removal impacted cerumen using irrigation/lavage, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63015", "description": "LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2711.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of wound, extraocular muscle, tendon and/or Tenon's capsule", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65290", "description": "Repair of wound, extraocular muscle, tendon and/or Tenon's capsule", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2373.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumothorax, therapeutic, intrapleural injection of air", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32960", "description": "Pneumothorax, therapeutic, intrapleural injection of air", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD CMBN 1NTRSPC EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22634", "description": "ARTHRD CMBN 1NTRSPC EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 809.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor XII (Hageman)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85280", "description": "Clotting; factor XII (Hageman)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2603", "description": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.62, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; respiratory syncytial virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86756", "description": "Antibody; respiratory syncytial virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12034", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 315.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SEL HRT ART CONGENITAL HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93563", "description": "NJX SEL HRT ART CONGENITAL HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC CRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22600", "description": "ARTHRD PST TQ 1NTRSPC CRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2384.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration and injection for treatment of bone cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20615", "description": "Aspiration and injection for treatment of bone cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0427", "description": "Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, mycoplasma, any source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87109", "description": "Culture, mycoplasma, any source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immersion external heater for nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1372", "description": "Immersion external heater for nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27616", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2086.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22114", "description": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2195.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47620", "description": "Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2348.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11450", "description": "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 458.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50825", "description": "Continent diversion, including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2553.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81401", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV DOP VEL /PRESS C FLO 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93571", "description": "IV DOP VEL /PRESS C FLO 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0038", "description": "Leg strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65125", "description": "Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 453.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filter for use in a tracheostoma heat and moisture exchange system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7504", "description": "Filter for use in a tracheostoma heat and moisture exchange system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87634", "description": "Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound bone density measurement and interpretation, peripheral site(s), any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76977", "description": "Ultrasound bone density measurement and interpretation, peripheral site(s), any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47554", "description": "Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36815", "description": "Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OROP DETCJ MRD 8 DNA HPV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0470U", "description": "ONC OROP DETCJ MRD 8 DNA HPV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58951", "description": "RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2396.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for postoperative hemorrhage, thrombosis or infection; abdomen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35840", "description": "Exploration for postoperative hemorrhage, thrombosis or infection; abdomen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2044.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pump for water circulating pad", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0236", "description": "Pump for water circulating pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RBC DNA GNOTYP 10 BLD GRP PHNT PREDICT 37 RBC AG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0084U", "description": "RBC DNA GNOTYP 10 BLD GRP PHNT PREDICT 37 RBC AG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, albumin (human), 25%, 50 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9047", "description": "Infusion, albumin (human), 25%, 50 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31075", "description": "Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1323.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4760.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation of corpora cavernosa for priapism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54220", "description": "Irrigation of corpora cavernosa for priapism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, streptomycin, up to 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3000", "description": "Injection, streptomycin, up to 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proton treatment delivery; simple, with compensation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77522", "description": "Proton treatment delivery; simple, with compensation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1528.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LIDOCAINE IN D5W 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2002", "description": "INJ LIDOCAINE IN D5W 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, erythromycin lactobionate, per 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1364", "description": "Injection, erythromycin lactobionate, per 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with transendoscopic balloon dilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45386", "description": "Colonoscopy, flexible; with transendoscopic balloon dilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REC CATH ANY TRANSANAL EACH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4453", "description": "REC CATH ANY TRANSANAL EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38780", "description": "Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal nodes (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1757.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0035U", "description": "Neurology (prion disease), cerebrospinal fluid, detection of prion protein by quaking-induced conformational conversion, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 811.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63050", "description": "Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2593.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; subclavian-axillary", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35516", "description": "Bypass graft, with vein; subclavian-axillary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2033.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0836", "description": "Power wheelchair, group 2 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of knee dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27550", "description": "Closed treatment of knee dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 940.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TPRN US W/MRI FUS 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55710", "description": "BX PRST8 TPRN US W/MRI FUS 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 328.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22214", "description": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2654.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Chlamydia, IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86632", "description": "Antibody; Chlamydia, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0615", "description": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 934.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EE 2 PRTN BMRK MBP ELISA EST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0095U", "description": "EE 2 PRTN BMRK MBP ELISA EST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1157.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, external eye; corneal, with slit lamp", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65222", "description": "Removal of foreign body, external eye; corneal, with slit lamp", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27892", "description": "Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 930.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55862", "description": "Exposure of prostate, any approach, for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1711.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION WEZLANA IV 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5138", "description": "INJECTION WEZLANA IV 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1226", "description": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 629.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gingivoplasty, each quadrant (specify)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41872", "description": "Gingivoplasty, each quadrant (specify)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 532.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, intercostal nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64620", "description": "Destruction by neurolytic agent, intercostal nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfusion, blood or blood components", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36430", "description": "Transfusion, blood or blood components", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; F (fetal), chemical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83030", "description": "Hemoglobin; F (fetal), chemical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95716", "description": "VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1999.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87633", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36625", "description": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); cutdown", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, enclosed, 4 sided framed, rigid or folding, wheeled with posterior seat", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0144", "description": "Walker, enclosed, 4 sided framed, rigid or folding, wheeled with posterior seat", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, interpretation; 16 or more markers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88189", "description": "Flow cytometry, interpretation; 16 or more markers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of thyroglossal duct cyst or sinus; recurrent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60281", "description": "Excision of thyroglossal duct cyst or sinus; recurrent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 925.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TISOTUMAB VEDOTIN-TFTV 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9273", "description": "INJ TISOTUMAB VEDOTIN-TFTV 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6266", "description": "Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water chamber for humidifier, used with positive airway pressure device, replacement, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7046", "description": "Water chamber for humidifier, used with positive airway pressure device, replacement, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81440", "description": "NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4986.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87563", "description": "IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEDICATION ADMIN & HEMODYNAMIC MEASURMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93463", "description": "MEDICATION ADMIN & HEMODYNAMIC MEASURMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Canthotomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67715", "description": "Canthotomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; supratentorial, simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61680", "description": "Surgery of intracranial arteriovenous malformation; supratentorial, simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4187.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sialic acid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84275", "description": "Sialic acid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31546", "description": "LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 807.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43305", "description": "Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1658.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD ILIOINGUINAL IH NERVES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64425", "description": "INJECTION AA&/STRD ILIOINGUINAL IH NERVES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening test of visual acuity, quantitative, bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99173", "description": "Screening test of visual acuity, quantitative, bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23334", "description": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1748.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CEP72 NUDT15&TPMT GENE ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0286U", "description": "CEP72 NUDT15&TPMT GENE ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Galactokinase, RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82759", "description": "Galactokinase, RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED COLON CA DO MRNA PNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0130U", "description": "HERED COLON CA DO MRNA PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28546", "description": "Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 640.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, C-1 esterase inhibitor (human), Berinert, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0597", "description": "Injection, C-1 esterase inhibitor (human), Berinert, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25115", "description": "Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1255.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; lower extremity, infant, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73592", "description": "Radiologic examination; lower extremity, infant, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy for repair of encephalocele, skull base", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62121", "description": "Craniotomy for repair of encephalocele, skull base", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2614.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, headrest extension, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0966", "description": "Manual wheelchair accessory, headrest extension, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gamma globulin, intramuscular, over 10 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1560", "description": "Injection, gamma globulin, intramuscular, over 10 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2543", "description": "Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28230", "description": "Tenotomy, open, tendon flexor; foot, single or multiple tendon(s) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC RXGENOM ALYS RTPCR 24GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0461U", "description": "ONC RXGENOM ALYS RTPCR 24GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1375.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48146", "description": "Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3233.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97546", "description": "Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transvesical ureterolithotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51060", "description": "Transvesical ureterolithotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 931.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N-INVAS EAR/PLS OXIMETRY MLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94761", "description": "N-INVAS EAR/PLS OXIMETRY MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2383", "description": "Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3711.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87525", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, fixed height, without side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0291", "description": "Hospital bed, fixed height, without side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SUPRAVALV AORTOG HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93567", "description": "NJX SUPRAVALV AORTOG HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4358", "description": "Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urea nitrogen; semiquantitative (eg, reagent strip test)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84525", "description": "Urea nitrogen; semiquantitative (eg, reagent strip test)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth, by upholstery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1297", "description": "Special wheelchair seat depth, by upholstery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52356", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 636.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of fibula nonunion and/or malunion with internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27726", "description": "Repair of fibula nonunion and/or malunion with internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1565.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 460.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FOUND DRS SOLO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2034", "description": "FOUND DRS SOLO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51797", "description": "Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0835", "description": "Power wheelchair, group 2 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 674.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ILOPROST 0.1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1749", "description": "INJ ILOPROST 0.1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0009U", "description": "ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURFLMNT LT CHN CLEIA PLSM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0547U", "description": "NEURFLMNT LT CHN CLEIA PLSM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61720", "description": "Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2387.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Patch or application test(s) (specify number of tests)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95044", "description": "Patch or application test(s) (specify number of tests)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33660", "description": "Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2993.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81315", "description": "PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen based wound filler, gel/paste, per g of collagen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6011", "description": "Collagen based wound filler, gel/paste, per g of collagen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASXL1 GENE ANALYSIS FULL GENE SEQUENCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81175", "description": "ASXL1 GENE ANALYSIS FULL GENE SEQUENCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or destruction (eg, laser), intranasal lesion; internal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30117", "description": "Excision or destruction (eg, laser), intranasal lesion; internal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frenulotomy of penis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54164", "description": "Frenulotomy of penis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73202", "description": "Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION INCLISIRAN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1306", "description": "INJECTION INCLISIRAN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX SM INT RCNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43847", "description": "GSTR RSTCV PX SM INT RCNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3090.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, rigid, transoral; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43193", "description": "Esophagoscopy, rigid, transoral; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BG ROLL EL LNG STR LIN Y W E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6597", "description": "GD CMP BG ROLL EL LNG STR LIN Y W E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81108", "description": "HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filtered speech test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92571", "description": "Filtered speech test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52315", "description": "Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 423.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2385", "description": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tunneled central venous catheter, without subcutaneous port or pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36589", "description": "Removal of tunneled central venous catheter, without subcutaneous port or pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stenger test, speech", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92577", "description": "Stenger test, speech", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89050", "description": "Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND N/S W<3\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6442", "description": "CONFORM BAND N/S W<3\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Marsupialization of sublingual salivary cyst (ranula)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42409", "description": "Marsupialization of sublingual salivary cyst (ranula)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 371.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61533", "description": "Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for long-term seizure monitoring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2848.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow harvesting for transplantation; allogeneic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38230", "description": "Bone marrow harvesting for transplantation; allogeneic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 313.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21015", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1136.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Counseling visit to discuss need for lung cancer screening using low dose CT scan (LDCT) (service is for eligibility determination and shared decision making)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0296", "description": "Counseling visit to discuss need for lung cancer screening using low dose CT scan (LDCT) (service is for eligibility determination and shared decision making)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII, (antihemophilic factor, recombinant), (NovoEight), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7182", "description": "Injection, factor VIII, (antihemophilic factor, recombinant), (NovoEight), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ARG NOT THER EQV TO J0883 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0891", "description": "INJ ARG NOT THER EQV TO J0883 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11303", "description": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84157", "description": "Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61608", "description": "RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5965.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Narrowing device, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0969", "description": "Narrowing device, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Family psychotherapy (without the patient present), 50 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90846", "description": "Family psychotherapy (without the patient present), 50 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombin time; plasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85670", "description": "Thrombin time; plasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMT 200MG AND TFV DF 300MG ORAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0750", "description": "EMT 200MG AND TFV DF 300MG ORAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; intrathoracic, with bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35211", "description": "Repair blood vessel, direct; intrathoracic, with bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2403.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, stationary", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9006", "description": "Parenteral nutrition infusion pump, stationary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 886.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37760", "description": "Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 968.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion, subcutaneous cardiac rhythm monitor, including programming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33285", "description": "Insertion, subcutaneous cardiac rhythm monitor, including programming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26370", "description": "Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1355.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY GASTRO 51 GENES NOMOGRAM DISEASE INDEX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0007M", "description": "ONCOLOGY GASTRO 51 GENES NOMOGRAM DISEASE INDEX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADV PRIM CARE MGMT LVL 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0557", "description": "ADV PRIM CARE MGMT LVL 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN CLL SSP F/N/G/HF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15018", "description": "APP SKN CLL SSP F/N/G/HF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2226", "description": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27047", "description": "Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 634.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43217", "description": "Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1438", "description": "Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 582.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg splint, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4046", "description": "Cast supplies, short leg splint, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0576T", "description": "INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81295", "description": "MSH2 (mutS homolog 2, colon cancer, nonpolyposis type 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 572.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRGT GEN SEQ ALYS PNL 311+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0239U", "description": "TRGT GEN SEQ ALYS PNL 311+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5250.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43845", "description": "GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3341.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, vibration) elastography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76391", "description": "Magnetic resonance (eg, vibration) elastography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ST ATHR CPX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37277", "description": "RVSC EVSC FPVT ST ATHR CPX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1236.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28890", "description": "ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 355.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, fracture, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0276", "description": "Bed pan, fracture, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMPR GRMT BRA NIGHT USE CST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6529", "description": "GRAD CMPR GRMT BRA NIGHT USE CST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1579.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis at wrist; flexors of fingers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25300", "description": "Tenodesis at wrist; flexors of fingers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1178.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25630", "description": "Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CSTOPLASTY/CSTOURTP PLSTC ANY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51800", "description": "CSTOPLASTY/CSTOURTP PLSTC ANY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1624.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11008", "description": "REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 447.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; quantitative, blood (except reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82947", "description": "Glucose; quantitative, blood (except reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58559", "description": "Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 442.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81255", "description": "HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 249.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of serum for use in RBC antibody identification; by dilution", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86976", "description": "Pretreatment of serum for use in RBC antibody identification; by dilution", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36223", "description": "SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pinworm examinations", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0113", "description": "Pinworm examinations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33418", "description": "Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2871.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal non-stress test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59025", "description": "Fetal non-stress test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ P-ART REVSC EACH ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33904", "description": "PERQ P-ART REVSC EACH ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 468.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Goserelin acetate implant, per 3.6 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9202", "description": "Goserelin acetate implant, per 3.6 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1100.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 739.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1075.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77331", "description": "Special dosimetry (eg, TLD, microdosimetry) (specify), only when prescribed by the treating physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2211", "description": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous balloon valvuloplasty; aortic valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92986", "description": "Percutaneous balloon valvuloplasty; aortic valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2118.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27750", "description": "Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 597.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portable oxygen concentrator, rental", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1392", "description": "Portable oxygen concentrator, rental", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 391.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORION PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4276", "description": "ORION PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PEANUT ALLG ASMT EPI CLIN RX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0178U", "description": "PEANUT ALLG ASMT EPI CLIN RX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 689.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46930", "description": "Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 278.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49250", "description": "Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1028.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2221", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for amniocentesis, imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76946", "description": "Ultrasonic guidance for amniocentesis, imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN TUM WHL GEN OPT MAPG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0299U", "description": "ONC PAN TUM WHL GEN OPT MAPG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2794.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NO PT PRSNT TRAIN ADD 15", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0542", "description": "NO PT PRSNT TRAIN ADD 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT DFRM 4-7 VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22810", "description": "ARTHRD ANT DFRM 4-7 VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3230.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV hanger, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0105", "description": "IV hanger, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33974", "description": "Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1580.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43337", "description": "Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; with implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2645.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2381", "description": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77317", "description": "BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80307", "description": "DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPRNL BALO CNTNC DEV BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53451", "description": "TPRNL BALO CNTNC DEV BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1326.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of ectopic pregnancy; abdominal pregnancy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59130", "description": "Surgical treatment of ectopic pregnancy; abdominal pregnancy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1586.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, breath tube kit for sip and puff interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2326", "description": "Power wheelchair accessory, breath tube kit for sip and puff interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTECENT C PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4336", "description": "ARTECENT C PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Penile revascularization, artery, with or without vein graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37788", "description": "Penile revascularization, artery, with or without vein graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1963.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN RCR 3-10 RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49615", "description": "RPR AA HRN RCR 3-10 RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1068.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0857", "description": "Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1599.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58262", "description": "Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1452.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMAVEST AND PLURIVEST PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4153", "description": "DERMAVEST AND PLURIVEST PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, soft, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8000", "description": "Helmet, protective, soft, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tape, nonwaterproof, per 18 sq in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4450", "description": "Tape, nonwaterproof, per 18 sq in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24079", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2215.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM DNA&RNA 437 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0391U", "description": "ONC SLD TUM DNA&RNA 437 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5400.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72197", "description": "Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 416.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 5 DNA REG MRK PCR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0433U", "description": "ONC PRST8 5 DNA REG MRK PCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94640", "description": "PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81411", "description": "AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2025.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of anorectal wall, anal approach (eg, congenital megacolon)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45100", "description": "Biopsy of anorectal wall, anal approach (eg, congenital megacolon)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 540.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, hydrophilic, toric, or prism ballast, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2521", "description": "Contact lens, hydrophilic, toric, or prism ballast, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93979", "description": "Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD AXILLARY NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64417", "description": "INJECTION AA&/STRD AXILLARY NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0733", "description": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4190.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calculus; infrared spectroscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82365", "description": "Calculus; infrared spectroscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93975", "description": "Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81445", "description": "GEN SEQ ANALYS SOLID ORGAN NEOPLASM 5-50 GENE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99494", "description": "1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV CORONAVIRUS AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87426", "description": "SARSCOV CORONAVIRUS AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagojejunostomy (without total gastrectomy); abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43340", "description": "Esophagojejunostomy (without total gastrectomy); abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2365.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood smear, peripheral, interpretation by physician with written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85060", "description": "Blood smear, peripheral, interpretation by physician with written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, limited or localized follow-up study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76380", "description": "Computed tomography, limited or localized follow-up study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess of palate, uvula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42000", "description": "Drainage of abscess of palate, uvula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 114.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special medical radiation physics consultation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77370", "description": "Special medical radiation physics consultation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 274.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow imaging; multiple areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78103", "description": "Bone marrow imaging; multiple areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94642", "description": "Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46600", "description": "Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 288.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, complex, extensor tendon, finger, including forearm, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26449", "description": "Tenolysis, complex, extensor tendon, finger, including forearm, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1178.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, indirect; with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31511", "description": "Laryngoscopy, indirect; with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMPR GMT ARM PAD FOR NT USE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6522", "description": "GRAD CMPR GMT ARM PAD FOR NT USE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 460.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adm Tocilizu COVID-19 2nd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0250", "description": "Adm Tocilizu COVID-19 2nd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, quantitative; CA 125", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86304", "description": "Immunoassay for tumor antigen, quantitative; CA 125", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5122.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93724", "description": "ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow, smear interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85097", "description": "Bone marrow, smear interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36620", "description": "Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ISCHIORECTAL/NTRMRL ABSC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46060", "description": "I D ISCHIORECTAL/NTRMRL ABSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 878.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Work hardening/conditioning; initial 2 hours", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97545", "description": "Work hardening/conditioning; initial 2 hours", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2623", "description": "Skin protection wheelchair seat cushion, adjustable, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Telehealth consultation, critical care, initial, physicians typically spend 60 minutes communicating with the patient and providers via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0508", "description": "Telehealth consultation, critical care, initial, physicians typically spend 60 minutes communicating with the patient and providers via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7611", "description": "Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of on-body injector (includes cannula insertion) for timed subcutaneous injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96377", "description": "Application of on-body injector (includes cannula insertion) for timed subcutaneous injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM CGEN COAGJ DO 20 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0270U", "description": "HEM CGEN COAGJ DO 20 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11102", "description": "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NERVE STIMULATOR FOR TX N&V", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0765", "description": "NERVE STIMULATOR FOR TX N&V", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor, foot; multiple tendons", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28222", "description": "Tenolysis, flexor, foot; multiple tendons", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 608.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93620", "description": "COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 723.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47146", "description": "Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 541.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33612", "description": "Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3402.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29805", "description": "Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 804.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor II, prothrombin, specific", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85210", "description": "Clotting; factor II, prothrombin, specific", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BELLACELL HD OR SUREDERM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4220", "description": "BELLACELL HD OR SUREDERM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52327", "description": "Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 391.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DTACHABLE NONADJ HT ARMREST REPL EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0015", "description": "DTACHABLE NONADJ HT ARMREST REPL EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.48, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73722", "description": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 428.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92002", "description": "Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of common iliac vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37660", "description": "Ligation of common iliac vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2234.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52010", "description": "Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bundle of His recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93600", "description": "Bundle of His recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99255", "description": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 312.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12006", "description": "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm cast, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4012", "description": "Cast supplies, short arm cast, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0880", "description": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.82, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy and transfer of greater trochanter of femur (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27140", "description": "Osteotomy and transfer of greater trochanter of femur (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1491.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEMP TEST I&R CERVICAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92517", "description": "VEMP TEST I&R CERVICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; intrathoracic, with bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35271", "description": "Repair blood vessel with graft other than vein; intrathoracic, with bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2400.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95131", "description": "PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER RX MNTR 200+ RX/SBSTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0520U", "description": "THER RX MNTR 200+ RX/SBSTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spontaneous nystagmus, including gaze", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92531", "description": "Spontaneous nystagmus, including gaze", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of wrist prosthesis; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25250", "description": "Removal of wrist prosthesis; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 921.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incisional biopsy of eyelid skin including lid margin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67810", "description": "Incisional biopsy of eyelid skin including lid margin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26852", "description": "Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1419.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, epidural, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75872", "description": "Venography, epidural, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87522", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy simple; partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56620", "description": "Vulvectomy simple; partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 979.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2258.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheter aspiration (separate procedure); nasotracheal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31720", "description": "Catheter aspiration (separate procedure); nasotracheal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prothrombin time; substitution, plasma fractions, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85611", "description": "Prothrombin time; substitution, plasma fractions, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81328", "description": "SLCO1B1 (solute carrier organic anion transporter family, member 1B1) (eg, adverse drug reaction), gene analysis, common variant(s) (eg, *5)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81167", "description": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangements)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55250", "description": "Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25455", "description": "Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1241.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2043", "description": "BIOBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM HEPRN NDUC TRMBCTPNA SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0275U", "description": "HEM HEPRN NDUC TRMBCTPNA SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43335", "description": "Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2284.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43251", "description": "Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35526", "description": "Bypass graft, with vein; aortosubclavian, aortoinnominate, or aortocarotid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2969.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24357", "description": "Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 673.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0667", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7518.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable wrist extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1805", "description": "Dynamic adjustable wrist extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REBOUND MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4296", "description": "REBOUND MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac magnetic resonance imaging for morphology and function without contrast material;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75557", "description": "Cardiac magnetic resonance imaging for morphology and function without contrast material;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 307.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parotid duct diversion, bilateral (Wilke type procedure);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42507", "description": "Parotid duct diversion, bilateral (Wilke type procedure);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 779.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11423", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 252.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0062U", "description": "Autoimmune (systemic lupus erythematosus), IgG and IgM analysis of 80 biomarkers, utilizing serum, algorithm reported with a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lavage by cannulation; sphenoid sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31002", "description": "Lavage by cannulation; sphenoid sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTO PRP DIAB CHR WD/ULC FDA CLR DV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0465", "description": "AUTO PRP DIAB CHR WD/ULC FDA CLR DV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11001", "description": "Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93458", "description": "CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1290.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88342", "description": "Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body from deep penile tissue (eg, plastic implant)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54115", "description": "Removal foreign body from deep penile tissue (eg, plastic implant)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CORE NDL BX LNG/MED PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32408", "description": "CORE NDL BX LNG/MED PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TECLISTAMAB-CQYV 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9380", "description": "INJECTION TECLISTAMAB-CQYV 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77778", "description": "Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 848.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special stain including interpretation and report; Group III, for enzyme constituents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88319", "description": "Special stain including interpretation and report; Group III, for enzyme constituents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22848", "description": "Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 588.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LASER VAPORIZATION OF PROSTATE FOR URINE FLOW", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52648", "description": "LASER VAPORIZATION OF PROSTATE FOR URINE FLOW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 923.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CTH SLCT P-ART ANGRP UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93569", "description": "NJX CTH SLCT P-ART ANGRP UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ileostomy or jejunostomy, non-tube", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44187", "description": "Laparoscopy, surgical; ileostomy or jejunostomy, non-tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1835.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21249", "description": "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1764.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99350", "description": "HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Digoxin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80162", "description": "Digoxin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FETAL CONGENITAL ABNOR ASSAY FOUR ANAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81511", "description": "FETAL CONGENITAL ABNOR ASSAY FOUR ANAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6214", "description": "Foam dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1872.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0157", "description": "Crutch attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, sphenoid, with or without biopsy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31050", "description": "Sinusotomy, sphenoid, with or without biopsy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80406", "description": "ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63066", "description": "COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 676.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME LANCING/TEST CARTRIDGES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4271", "description": "HOME LANCING/TEST CARTRIDGES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complement; antigen, each component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86160", "description": "Complement; antigen, each component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0780", "description": "Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hours", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Occluder lens, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2770", "description": "Occluder lens, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of chalazion; multiple, same lid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67801", "description": "Excision of chalazion; multiple, same lid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHYLMD TRACH AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87320", "description": "CHYLMD TRACH AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiation treatment management, 5 treatments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77427", "description": "Radiation treatment management, 5 treatments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 336.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1702.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1789.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctoplasty; for prolapse of mucous membrane", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45505", "description": "Proctoplasty; for prolapse of mucous membrane", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1057.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SERUM BACTERICIDAL TITER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87197", "description": "SERUM BACTERICIDAL TITER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; hemoglobin (Hgb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85018", "description": "Blood count; hemoglobin (Hgb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87490", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY NEURFLMNT LIGHT CHAIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83884", "description": "ASSAY NEURFLMNT LIGHT CHAIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2010", "description": "Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocollator unit, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0239", "description": "Hydrocollator unit, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 613.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4712.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, leg or ankle; deep abscess or hematoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27603", "description": "Incision and drainage, leg or ankle; deep abscess or hematoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 661.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91010", "description": "Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 318.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74262", "description": "Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lidocaine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80176", "description": "Lidocaine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroidectomy, total or subtotal for malignancy; with limited neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60252", "description": "Thyroidectomy, total or subtotal for malignancy; with limited neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2110.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM CFDNA&RNA NGS GM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0485U", "description": "ONC SOL TUM CFDNA&RNA NGS GM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5474.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AVACINCAPTAD PEGOL 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2782", "description": "INJ AVACINCAPTAD PEGOL 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8576.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0675", "description": "Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2518.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drive belt for power wheelchair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0098", "description": "Drive belt for power wheelchair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, indirect; with removal of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31512", "description": "Laryngoscopy, indirect; with removal of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LUNG ELISA 7 AUTOANT ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0360U", "description": "ONC LUNG ELISA 7 AUTOANT ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 818.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, pediatric size, folding, adjustable, with seating system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1236", "description": "Wheelchair, pediatric size, folding, adjustable, with seating system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 350.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0733", "description": "Power wheelchair accessory, 12 to 24 amp hour sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87475", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Otoplasty, protruding ear, with or without size reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69300", "description": "Otoplasty, protruding ear, with or without size reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 752.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50396", "description": "Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 NDL SAT SAMPLING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55706", "description": "BX PRST8 NDL SAT SAMPLING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 354.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCPT RMT ASYNC IMG 20/>MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9870", "description": "RCPT RMT ASYNC IMG 20/>MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35571", "description": "Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2198.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX TALUS FRACTURE W/O MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28430", "description": "CLTX TALUS FRACTURE W/O MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 385.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96921", "description": "Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96415", "description": "Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis procedure with single evaluation by a physician or other qualified health care professional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90935", "description": "Hemodialysis procedure with single evaluation by a physician or other qualified health care professional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81259", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrogastrography, diagnostic, transcutaneous;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91132", "description": "Electrogastrography, diagnostic, transcutaneous;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 817.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), and intervention, greater than 30 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0397", "description": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), and intervention, greater than 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83704", "description": "Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DTACHABLE NONADJ HT ARMREST REPL EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0015", "description": "DTACHABLE NONADJ HT ARMREST REPL EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterorrhaphy, suture of ureter (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50900", "description": "Ureterorrhaphy, suture of ureter (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1328.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HF CW OS SYS TH REG REC SIM EX OS Q", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0483", "description": "HF CW OS SYS TH REG REC SIM EX OS Q", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2272.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STANDARDIZED COGNITIVE PERFORMANCE TESTING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96125", "description": "STANDARDIZED COGNITIVE PERFORMANCE TESTING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2502", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD ORGN TGSA DNA 84/+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0334U", "description": "ONC SLD ORGN TGSA DNA 84/+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5250.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58671", "description": "Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 591.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28615", "description": "Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1411.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with removal of two lobes (bilobectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32670", "description": "Thoracoscopy, surgical; with removal of two lobes (bilobectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2733.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81105", "description": "HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of scleral staphyloma; with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66225", "description": "Repair of scleral staphyloma; with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59136", "description": "Surgical treatment of ectopic pregnancy; interstitial, uterine pregnancy with partial resection of uterus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1503.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTESTINE IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78290", "description": "INTESTINE IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 465.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21263", "description": "Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3602.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed cradle, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0280", "description": "Bed cradle, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of sternocleidomastoid for torticollis, open operation; without cast application", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21720", "description": "Division of sternocleidomastoid for torticollis, open operation; without cast application", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1068.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1847.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97608", "description": "NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96170", "description": "HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2201", "description": "Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 in and less than 24 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87537", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, H style, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0039", "description": "Leg strap, H style, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; presence and/or motility of sperm including Huhner test (post coital)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89300", "description": "Semen analysis; presence and/or motility of sperm including Huhner test (post coital)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43212", "description": "Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87528", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRICHOMONAS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87808", "description": "TRICHOMONAS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0652", "description": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7650.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; glycosylated (A1C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83036", "description": "Hemoglobin; glycosylated (A1C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26350", "description": "Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1319.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0420T", "description": "Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG SP LNR LW EXT ANY SZ/L E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6594", "description": "GD CMP BDG SP LNR LW EXT ANY SZ/L E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44150", "description": "Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3129.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) or trephine; with drainage of brain abscess or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61150", "description": "Burr hole(s) or trephine; with drainage of brain abscess or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2527.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Xylose absorption test, blood and/or urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84620", "description": "Xylose absorption test, blood and/or urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gel pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0196", "description": "Gel pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAPECITABINE ORAL 50 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8522", "description": "CAPECITABINE ORAL 50 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of greater trochanteric fracture, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27246", "description": "Closed treatment of greater trochanteric fracture, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRD GSA CFDNA BASELINE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0560U", "description": "ONC MRD GSA CFDNA BASELINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5817.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2099.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy belt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4367", "description": "Ostomy belt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37185", "description": "PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lambswool sheepskin pad, any size", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0189", "description": "Lambswool sheepskin pad, any size", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15731", "description": "Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1548.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, burosumab-twza 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0584", "description": "Injection, burosumab-twza 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 705.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, variable height, hi-lo, with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0255", "description": "Hospital bed, variable height, hi-lo, with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, with skin flap closure; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15935", "description": "Excision, sacral pressure ulcer, with skin flap closure; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1863.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25077", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1515.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CALCIUM GLUCONATE NOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0612", "description": "INJ CALCIUM GLUCONATE NOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ixabepilone, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9207", "description": "Injection, ixabepilone, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77021", "description": "Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 636.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19380", "description": "Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1312.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45380", "description": "Colonoscopy, flexible; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FAMOTIDINE 0.25 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1308", "description": "INJ FAMOTIDINE 0.25 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for extremity venography (including introduction of needle or intracatheter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36005", "description": "Injection procedure for extremity venography (including introduction of needle or intracatheter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44206", "description": "Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2892.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95800", "description": "Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27286", "description": "Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2661.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of female urethra including suppository and/or instillation; subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53661", "description": "Dilation of female urethra including suppository and/or instillation; subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphincteroplasty, anal, for incontinence or prolapse; adult", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46750", "description": "Sphincteroplasty, anal, for incontinence or prolapse; adult", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24101", "description": "Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 864.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, humerus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24110", "description": "Excision or curettage of bone cyst or benign tumor, humerus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1015.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcium; ionized", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82330", "description": "Calcium; ionized", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28515", "description": "Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 657.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DX ALY AUD OI SND PRCSR 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92622", "description": "DX ALY AUD OI SND PRCSR 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13151", "description": "Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, knee, any technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27580", "description": "Arthrodesis, knee, any technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2433.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31635", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Single energy x-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0130", "description": "Single energy x-ray absorptiometry (SEXA) bone density study, one or more sites; appendicular skeleton (peripheral) (e.g., radius, wrist, heel)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus 250 g or less;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58260", "description": "Vaginal hysterectomy, for uterus 250 g or less;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1316.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2398", "description": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28296", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with distal metatarsal osteotomy, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 840.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; phrenic nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64746", "description": "Transection or avulsion of; phrenic nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 787.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POLYGON3 PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4400", "description": "POLYGON3 PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99151", "description": "MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83037", "description": "Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adrenocorticotropic hormone (ACTH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82024", "description": "Adrenocorticotropic hormone (ACTH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4005", "description": "Cast supplies, long arm cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deoxyribonucleic acid (DNA) antibody; native or double stranded", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86225", "description": "Deoxyribonucleic acid (DNA) antibody; native or double stranded", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11641", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87636", "description": "Infectious agent detection by nucleic acid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17282", "description": "DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45332", "description": "Sigmoidoscopy, flexible; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 79.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1226", "description": "Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 471.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, lesion of palate, uvula; with local flap closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42107", "description": "Excision, lesion of palate, uvula; with local flap closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 535.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52341", "description": "Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 436.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11644", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 420.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1082.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67882", "description": "Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70549", "description": "Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 466.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31633", "description": "BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44408", "description": "Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 352.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87153", "description": "Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, upper arm or elbow area; bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23931", "description": "Incision and drainage, upper arm or elbow area; bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 283.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue culture for non-neoplastic disorders; lymphocyte", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88230", "description": "Tissue culture for non-neoplastic disorders; lymphocyte", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74190", "description": "Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of contact lens for treatment of ocular surface disease", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92071", "description": "Fitting of contact lens for treatment of ocular surface disease", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33859", "description": "AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4122.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87912", "description": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44366", "description": "ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 364.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0486", "description": "Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 527.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CAST PLASTER VELPEAU", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29058", "description": "APPL CAST PLASTER VELPEAU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, brentuximab vedotin, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9042", "description": "Injection, brentuximab vedotin, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 380.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctopexy (eg, for prolapse); perineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45541", "description": "Proctopexy (eg, for prolapse); perineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1596.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 465.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNGRPH CHD VNVN CLTRL AT/ABV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93587", "description": "VNGRPH CHD VNVN CLTRL AT/ABV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20931", "description": "Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81190", "description": "CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ventricular assist device; extracorporeal, biventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33976", "description": "Insertion of ventricular assist device; extracorporeal, biventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2634.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8009.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, aminophyllin, up to 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0280", "description": "Injection, aminophyllin, up to 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm splint, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4021", "description": "Cast supplies, short arm splint, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95117", "description": "Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81551", "description": "ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3045.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LW GNOTYP ICAM4 EXON 1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0197U", "description": "LW GNOTYP ICAM4 EXON 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPLICATION LONG LEG SPLINT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29505", "description": "APPLICATION LONG LEG SPLINT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FUT1 GNOTYP FUT1 EXON 4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0185U", "description": "FUT1 GNOTYP FUT1 EXON 4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, heated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0562", "description": "Humidifier, heated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62327", "description": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63271", "description": "Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3809.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 742.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation arteries; internal maxillary artery, transantral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30920", "description": "Ligation arteries; internal maxillary artery, transantral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BETA-AMYLOID 1-40 (ABETA 40)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82233", "description": "BETA-AMYLOID 1-40 (ABETA 40)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI CHEST W/O & W/CONTRAST MATERIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71552", "description": "MRI CHEST W/O & W/CONTRAST MATERIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 636.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, ribs, bilateral; 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71110", "description": "Radiologic examination, ribs, bilateral; 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 612.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DELAYED PLMT DSTL XTN PROSTH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33886", "description": "DELAYED PLMT DSTL XTN PROSTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1753.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nucleotidase 5'-", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83915", "description": "Nucleotidase 5'-", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70482", "description": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4316", "description": "Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22905", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2236.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Controlled dose inhalation drug delivery system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0730", "description": "Controlled dose inhalation drug delivery system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Secondary revision of orbitocraniofacial reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21275", "description": "Secondary revision of orbitocraniofacial reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1362.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology treatment planning; intermediate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77262", "description": "Therapeutic radiology treatment planning; intermediate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHONE/INTER FOR TREAT>31M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0549", "description": "PHONE/INTER FOR TREAT>31M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97130", "description": "THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77767", "description": "Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAIT MOD SYSTM RHYM AUDITORY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E3200", "description": "GAIT MOD SYSTM RHYM AUDITORY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1767.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81178", "description": "ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, pediatric size, folding, adjustable, without seating system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1238", "description": "Wheelchair, pediatric size, folding, adjustable, without seating system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 350.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 26026.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of intracardiac tumor, resection with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33120", "description": "Excision of intracardiac tumor, resection with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3555.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI TRC IMG INTRAL ESOPH-ILE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91110", "description": "GI TRC IMG INTRAL ESOPH-ILE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Centralization of wrist on ulna (eg, radial club hand)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25335", "description": "Centralization of wrist on ulna (eg, radial club hand)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1571.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81493", "description": "Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1575.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93451", "description": "Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1291.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95990", "description": "REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43274", "description": "ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 696.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG ABRASJ ARTHRP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29879", "description": "ARTHRS KNE SRG ABRASJ ARTHRP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1117.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BCT FNGL/VIRAL SEMIQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0441U", "description": "NFCT DS BCT FNGL/VIRAL SEMIQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 666.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MECP2 FULL GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0234U", "description": "MECP2 FULL GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 791.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; helminth, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86682", "description": "Antibody; helminth, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREP CADAVER/LIVING DONOR INTESTINE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44715", "description": "BKBENCH PREP CADAVER/LIVING DONOR INTESTINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 527.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, busulfan, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0594", "description": "Injection, busulfan, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation and curettage of cervical stump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57558", "description": "Dilation and curettage of cervical stump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CTA H&N C+ W/NONCONTRAST IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70471", "description": "CTA H&N C+ W/NONCONTRAST IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 462.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Large size footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0041", "description": "Large size footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99050", "description": "SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric motility (manometric) studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91020", "description": "Gastric motility (manometric) studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1038.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41006", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 376.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, temporomandibular joint, open and closed mouth; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70330", "description": "Radiologic examination, temporomandibular joint, open and closed mouth; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION LURBINECTEDIN 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9223", "description": "INJECTION LURBINECTEDIN 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV antigen/antibody, combination assay, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0475", "description": "HIV antigen/antibody, combination assay, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC IMVT ANGIO CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37298", "description": "REVSC EVSC IMVT ANGIO CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1119.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM GEN PLTLT DO 43 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0274U", "description": "HEM GEN PLTLT DO 43 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrolithotomy; removal of calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50060", "description": "Nephrolithotomy; removal of calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1777.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6455", "description": "Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1210.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, penicillin G benzathine and penicillin G procaine, 100,000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0558", "description": "Injection, penicillin G benzathine and penicillin G procaine, 100,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY METHOTREXATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80204", "description": "DRUG ASSAY METHOTREXATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2782.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LUNG FLOW CYTMTRY 5 MRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0406U", "description": "ONC LUNG FLOW CYTMTRY 5 MRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1100", "description": "Semi-reclining wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of dislocating patella; (eg, Hauser type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27420", "description": "Reconstruction of dislocating patella; (eg, Hauser type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RSV ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87807", "description": "RSV ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88387", "description": "MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21552", "description": "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 776.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1573", "description": "Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0973", "description": "Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy for craniosynostosis; bifrontal bone flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61557", "description": "Craniotomy for craniosynostosis; bifrontal bone flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3162.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, shoulder area; single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23405", "description": "Tenotomy, shoulder area; single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1024.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96522", "description": "Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25645", "description": "Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 979.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21194", "description": "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2251.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1214.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2343", "description": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1149.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21602", "description": "EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2769.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ACETAMINOPHEN B BRAUN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0136", "description": "INJ ACETAMINOPHEN B BRAUN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Direct nasal mucous membrane test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95065", "description": "Direct nasal mucous membrane test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Punch biopsy of skin (including simple closure, when performed); single lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11104", "description": "Punch biopsy of skin (including simple closure, when performed); single lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81319", "description": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, butorphanol tartrate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0595", "description": "Injection, butorphanol tartrate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Integra flowable wound matrix, injectable, 1 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4114", "description": "Integra flowable wound matrix, injectable, 1 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2114.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Zika virus, IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86794", "description": "Antibody; Zika virus, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37186", "description": "SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 ALYS CRCG PLSM PRT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0495U", "description": "ONC PRST8 ALYS CRCG PLSM PRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMPR STK WAIST L 30-40MMHG CST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6563", "description": "GD CMPR STK WAIST L 30-40MMHG CST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1523.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT DCMPRN NRV RT EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63035", "description": "LAMOT DCMPRN NRV RT EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 383.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatase, alkaline; heat stable (total not included)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84078", "description": "Phosphatase, alkaline; heat stable (total not included)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, thigh, through femur, any level; open, circular (guillotine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27592", "description": "Amputation, thigh, through femur, any level; open, circular (guillotine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance, intraoperative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76998", "description": "Ultrasonic guidance, intraoperative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47550", "description": "Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2107", "description": "Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm cast, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4011", "description": "Cast supplies, short arm cast, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEMETREXED HOSPIRA 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9294", "description": "INJ PEMETREXED HOSPIRA 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0644T", "description": "Transcatheter removal or debulking of intracardiac mass (eg, vegetations, thrombus) via suction (eg, vacuum, aspiration) device, percutaneous approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNE SRG MNISC RPR M/L", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29882", "description": "ARTHRS KNE SRG MNISC RPR M/L", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1148.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or removal of implanted spinal neurostimulator pulse generator or receiver", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63688", "description": "Revision or removal of implanted spinal neurostimulator pulse generator or receiver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO INSJ DEV ISCHMC RMDLG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53865", "description": "CYSTO INSJ DEV ISCHMC RMDLG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47140", "description": "Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6122.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAS DIL/WSHOT DETER LNG VOL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94727", "description": "GAS DIL/WSHOT DETER LNG VOL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36248", "description": "SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous islet cell transplant, includes portal vein catheterization and infusion", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0341", "description": "Percutaneous islet cell transplant, includes portal vein catheterization and infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OASIS WOUND MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4102", "description": "OASIS WOUND MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MELPHALAN HEPZATO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9248", "description": "INJ MELPHALAN HEPZATO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aldolase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82085", "description": "Aldolase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MEROPENEM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2183", "description": "INJ MEROPENEM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV LITHOTRP IVT W/IN SM ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37262", "description": "IV LITHOTRP IVT W/IN SM ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexor-plasty, elbow (eg, Steindler type advancement);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24330", "description": "Flexor-plasty, elbow (eg, Steindler type advancement);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1215.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31231", "description": "Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MEDISKIN PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4135", "description": "MEDISKIN PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90694", "description": "AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81325", "description": "PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1154.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0501", "description": "Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 920.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2395", "description": "Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2615", "description": "Positioning wheelchair back cushion, posterior-lateral, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.61, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Haptoglobin; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83010", "description": "Haptoglobin; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5697.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 134.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81277", "description": "CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1740.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73222", "description": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97760", "description": "ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4393", "description": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61799", "description": "STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystography, minimum of 3 views, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74430", "description": "Cystography, minimum of 3 views, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31090", "description": "Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1788.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37761", "description": "Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 888.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7220.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HI INTNS BHV CNSL PREV STI IND ED", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0445", "description": "HI INTNS BHV CNSL PREV STI IND ED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21030", "description": "Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 590.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7203", "description": "Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ciliary body destruction; cryotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66720", "description": "Ciliary body destruction; cryotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 628.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81500", "description": "Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2830.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 821.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33963", "description": "ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 779.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, toe; single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28010", "description": "Tenotomy, percutaneous, toe; single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of malignant tumor of mandible; radical resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21045", "description": "Excision of malignant tumor of mandible; radical resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1871.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93981", "description": "Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibuloplasty; anterior", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40840", "description": "Vestibuloplasty; anterior", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 994.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93590", "description": "Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1553.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheterization of umbilical vein for diagnosis or therapy, newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36510", "description": "Catheterization of umbilical vein for diagnosis or therapy, newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92597", "description": "Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD RESCJ TUM SHOULDER 5CM/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23078", "description": "RAD RESCJ TUM SHOULDER 5CM/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2394.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 131.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alveolectomy, including curettage of osteitis or sequestrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41830", "description": "Alveolectomy, including curettage of osteitis or sequestrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for postoperative hemorrhage, thrombosis or infection; chest", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35820", "description": "Exploration for postoperative hemorrhage, thrombosis or infection; chest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3406.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0111", "description": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, includes canes of all materials, adjustable or fixed, with tip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0100", "description": "Cane, includes canes of all materials, adjustable or fixed, with tip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25670", "description": "Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1041.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HCPCS-Q5116", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5116", "description": "HCPCS-Q5116", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4026", "description": "Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD TRACHELECTOMY W/BI PEL LMPHADEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57531", "description": "RAD TRACHELECTOMY W/BI PEL LMPHADEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3043.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7686", "description": "Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1116.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPLY ALW NONIMPL CGM 1 MO SP=1 UOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4239", "description": "SPLY ALW NONIMPL CGM 1 MO SP=1 UOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KF" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43502", "description": "Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; hip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29520", "description": "Strapping; hip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvotomy, mitral valve; open heart, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33422", "description": "Valvotomy, mitral valve; open heart, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2883.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACESSO DL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4293", "description": "ACESSO DL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58563", "description": "Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positional nystagmus test, minimum of 4 positions, with recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92542", "description": "Positional nystagmus test, minimum of 4 positions, with recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ZENITH AMNIOTIC MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4253", "description": "ZENITH AMNIOTIC MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ciliary body destruction; cyclodialysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66740", "description": "Ciliary body destruction; cyclodialysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal allotransplantation, implantation of graft; with recipient nephrectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50365", "description": "Renal allotransplantation, implantation of graft; with recipient nephrectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5115.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSCOPY > 2ND PRTN ABLTJ LESION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44369", "description": "ENTEROSCOPY > 2ND PRTN ABLTJ LESION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2301", "description": "Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, rituximab 10 mg and hyaluronidase", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9311", "description": "Injection, rituximab 10 mg and hyaluronidase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1390", "description": "Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2411.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PLSM CELL DO&MYELOMA ID", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0337U", "description": "ONC PLSM CELL DO&MYELOMA ID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3652.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, less than 4 static views; with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78601", "description": "Brain imaging, less than 4 static views; with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58200", "description": "TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2264.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venipuncture, cutdown; younger than age 1 year", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36420", "description": "Venipuncture, cutdown; younger than age 1 year", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX V-BANDED GSTP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43842", "description": "GSTR RSTCV PX V-BANDED GSTP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1761.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27822", "description": "Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1476.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG PHYS/QHP 2-12 HR WITHOUT VIDEO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95717", "description": "EEG PHYS/QHP 2-12 HR WITHOUT VIDEO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86294", "description": "Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97162", "description": "PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2958.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO GSAP CLL FR MCRSTL INS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81464", "description": "SO GSAP CLL FR MCRSTL INS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4932.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B5100", "description": "PARENTERAL NUT SOL AMINO ACID AND CARBOHYDRATES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 665.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET METAB EVAL SINGLE STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78459", "description": "MYOCRD IMG PET METAB EVAL SINGLE STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1947.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27508", "description": "Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 876.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnesium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83735", "description": "Magnesium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15772", "description": "GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81320", "description": "PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25609", "description": "Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1731.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or removal of intracranial neurostimulator electrodes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61880", "description": "Revision or removal of intracranial neurostimulator electrodes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1157.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent; pudendal nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64630", "description": "Destruction by neurolytic agent; pudendal nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bradykinin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82286", "description": "Bradykinin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWC GP 2 STD SEAT/BACK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0822", "description": "PWC GP 2 STD SEAT/BACK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48154", "description": "PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4916.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35013", "description": "DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1976.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26121", "description": "Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1002.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0219T", "description": "Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1133.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAREGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4322", "description": "CAREGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62367", "description": "ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50688", "description": "Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPAP INITIATION MGMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94660", "description": "CPAP INITIATION MGMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Advanced life support, level 2 (ALS 2)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0433", "description": "Advanced life support, level 2 (ALS 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1355.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN CLL SSP F/N/G/HF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15017", "description": "APP SKN CLL SSP F/N/G/HF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1171.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35045", "description": "DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1590.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolytic factors and inhibitors; alpha-2 antiplasmin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85410", "description": "Fibrinolytic factors and inhibitors; alpha-2 antiplasmin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59620", "description": "Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1594.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62322", "description": "NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41009", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of tracheostomy scar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31830", "description": "Revision of tracheostomy scar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 583.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73220", "description": "Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51020", "description": "Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 762.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83021", "description": "Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81422", "description": "Fetal chromosomal microdeletion(s) genomic sequence analysis (eg, DiGeorge syndrome, Cri-du-chat syndrome), circulating cell-free fetal DNA in maternal blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46612", "description": "Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96371", "description": "SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LVR SURVEILANC HCC CFDNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0333U", "description": "ONC LVR SURVEILANC HCC CFDNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 993.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ & REPRT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0472T", "description": "DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ & REPRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled intraperitoneal catheter for dialysis, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49421", "description": "Insertion of tunneled intraperitoneal catheter for dialysis, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 377.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99406", "description": "Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal Erupted Tooth W/Flap Bone/T", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "D7210", "description": "Removal Erupted Tooth W/Flap Bone/T", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, haloperidol decanoate, per 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1631", "description": "Injection, haloperidol decanoate, per 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16020", "description": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ABSC PHRNGL NTRAORL APPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42720", "description": "I D ABSC PHRNGL NTRAORL APPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 587.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, soft, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8000", "description": "Helmet, protective, soft, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoprosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65770", "description": "Keratoprosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2039.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33478", "description": "Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2721.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow harvesting for transplantation; autologous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38232", "description": "Bone marrow harvesting for transplantation; autologous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 275.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30462", "description": "Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip, septum, osteotomies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26075", "description": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 589.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2214", "description": "Spherocylinder, bifocal, sphere over plus or minus 12.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, phentolamine mesylate, up to 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2760", "description": "Injection, phentolamine mesylate, up to 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 364.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4123.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80428", "description": "Growth hormone stimulation panel (eg, arginine infusion, l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31653", "description": "BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 376.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST < 3 NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49592", "description": "RPR AA HRN 1ST < 3 NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 799.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, leg; primary, without graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27664", "description": "Repair, extensor tendon, leg; primary, without graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 608.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96422", "description": "Chemotherapy administration, intra-arterial; infusion technique, up to 1 hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alteplase recombinant, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2997", "description": "Injection, alteplase recombinant, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87561", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88172", "description": "Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IRRIGATION SUPPLY SLV REUSE PER MTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4436", "description": "IRRIGATION SUPPLY SLV REUSE PER MTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HIV-1 and HIV-2, single result", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86703", "description": "Antibody; HIV-1 and HIV-2, single result", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82540", "description": "Creatine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63275", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3258.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67005", "description": "Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of patellar dislocation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27562", "description": "Closed treatment of patellar dislocation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 854.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCARDIAL SPECT MULTIPLE STUDIES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78452", "description": "MYOCARDIAL SPECT MULTIPLE STUDIES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 632.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALEXIGUARD ST-L PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4415", "description": "ALEXIGUARD ST-L PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dehydroepiandrosterone (DHEA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82626", "description": "Dehydroepiandrosterone (DHEA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fistulization of sclera for glaucoma; trephination with iridectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66150", "description": "Fistulization of sclera for glaucoma; trephination with iridectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3750.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of mesentery (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44850", "description": "Suture of mesentery (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1288.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45190", "description": "Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33933", "description": "BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 617.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, lumbosacral; 2 or 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72100", "description": "Radiologic examination, spine, lumbosacral; 2 or 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home blood glucose monitor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0607", "description": "Home blood glucose monitor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 813.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous anastomosis, open; caval-mesenteric", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37160", "description": "Venous anastomosis, open; caval-mesenteric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3737.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of talotarsal joint dislocation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28585", "description": "Open treatment of talotarsal joint dislocation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1187.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4422", "description": "Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody identification; leukocyte antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86021", "description": "Antibody identification; leukocyte antibodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59850", "description": "Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospital admission and visits, delivery of fetus and secundines;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectourethral fistula; with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45825", "description": "Closure of rectourethral fistula; with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2671.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32906", "description": "Thoracoplasty, Schede type or extrapleural (all stages); with closure of bronchopleural fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2829.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, paricalcitol, 1 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2501", "description": "Injection, paricalcitol, 1 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 203.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indwelling catheter; specialty type, (e.g., Coude, mushroom, wing, etc.), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4340", "description": "Indwelling catheter; specialty type, (e.g., Coude, mushroom, wing, etc.), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42972", "description": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 782.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50436", "description": "PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D THYROGLSSL DUX CST INFCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60000", "description": "I D THYROGLSSL DUX CST INFCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 203.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1306.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33990", "description": "Insertion of ventricular assist device, percutaneous, including radiological supervision and interpretation; left heart, arterial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 568.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Theophylline", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80198", "description": "Theophylline", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59050", "description": "Fetal monitoring during labor by consulting physician (ie, non-attending physician) with written report; supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasal fracture; with concomitant open treatment of fractured septum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21335", "description": "Open treatment of nasal fracture; with concomitant open treatment of fractured septum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1146.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM INH THROMBOCYTOPENIA 42", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0276U", "description": "HEM INH THROMBOCYTOPENIA 42", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3672.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2214", "description": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrocnemius recession (eg, Strayer procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27687", "description": "Gastrocnemius recession (eg, Strayer procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 768.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, mandible, segmental;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21198", "description": "Osteotomy, mandible, segmental;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1592.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9538", "description": "Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, testosterone cypionate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1071", "description": "Injection, testosterone cypionate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, tray, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0950", "description": "Wheelchair accessory, tray, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening Papanicolaou smear, cervical or vaginal, up to 3 smears, by technician under physician supervision", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P3000", "description": "Screening Papanicolaou smear, cervical or vaginal, up to 3 smears, by technician under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2219", "description": "Manual wheelchair accessory, foam caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70481", "description": "Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 228.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11300", "description": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 701.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "E-STIM 1/> AREAS CHRONIC STAGE III&IV ULCERS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0281", "description": "E-STIM 1/> AREAS CHRONIC STAGE III&IV ULCERS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THRC FASCIAL PLN BLK UNI NFS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64467", "description": "THRC FASCIAL PLN BLK UNI NFS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, levetiracetam, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1953", "description": "Injection, levetiracetam, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy for crisis; first 60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90839", "description": "Psychotherapy for crisis; first 60 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1ST OPN IMPLT BAT MODULJ SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64654", "description": "1ST OPN IMPLT BAT MODULJ SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1022.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromotubation of oviduct, including materials", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58350", "description": "Chromotubation of oviduct, including materials", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21432", "description": "Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1197.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26844", "description": "Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1506.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continuous positive airway pressure (CPAP) device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0601", "description": "Continuous positive airway pressure (CPAP) device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IN PENTAMIDINE ISETHIONATE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2516", "description": "IN PENTAMIDINE ISETHIONATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78816", "description": "Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCOLOGY TISSUE OF ORIGIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81504", "description": "ONCOLOGY TISSUE OF ORIGIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 780.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metacarpal fracture, single; without manipulation, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26600", "description": "Closed treatment of metacarpal fracture, single; without manipulation, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 394.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for Peyronie disease; with surgical exposure of plaque", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54205", "description": "Injection procedure for Peyronie disease; with surgical exposure of plaque", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 853.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transthoracic echocardiography for congenital cardiac anomalies; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93303", "description": "Transthoracic echocardiography for congenital cardiac anomalies; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US PREGNANT UTERUS LIMITED 1/> FETUSES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76815", "description": "US PREGNANT UTERUS LIMITED 1/> FETUSES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5514", "description": "For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACETEC & FORAMOT LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63047", "description": "LAM FACETEC & FORAMOT LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1969.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2624", "description": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Photo patch test(s) (specify number of tests)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95052", "description": "Photo patch test(s) (specify number of tests)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, headrest extension, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0966", "description": "Manual wheelchair accessory, headrest extension, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 455.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2&INF TYP A&B W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87812", "description": "SARSCOV2&INF TYP A&B W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IMVT ANGIO SF 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37296", "description": "REVSC EVASC IMVT ANGIO SF 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 911.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protoporphyrin, RBC; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84202", "description": "Protoporphyrin, RBC; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acoustic reflex testing, threshold", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92568", "description": "Acoustic reflex testing, threshold", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88274", "description": "Molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36571", "description": "Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADHESIVE CLIP EXT ENS CONTROL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4438", "description": "ADHESIVE CLIP EXT ENS CONTROL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61321", "description": "Craniectomy or craniotomy, drainage of intracranial abscess; infratentorial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3924.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45331", "description": "Sigmoidoscopy, flexible; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2099.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy external ear", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69100", "description": "Biopsy external ear", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29915", "description": "Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1668.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTECENT TRIDENT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4337", "description": "ARTECENT TRIDENT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76882", "description": "US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, argatroban, 1 mg (for non-ESRD use)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0883", "description": "Injection, argatroban, 1 mg (for non-ESRD use)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin beta, 1 microgram, (for non-ESRD use)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0888", "description": "Injection, epoetin beta, 1 microgram, (for non-ESRD use)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 115.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35102", "description": "DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3113.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of osseous tuberosities, dentoalveolar structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41823", "description": "Excision of osseous tuberosities, dentoalveolar structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 635.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2104", "description": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL RISSER JACKET BODY ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29010", "description": "APPL RISSER JACKET BODY ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 275.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of hip dislocation, traumatic; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27250", "description": "Closed treatment of hip dislocation, traumatic; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 318.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50547", "description": "Laparoscopy, surgical; donor nephrectomy (including cold preservation), from living donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2797.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74235", "description": "Removal of foreign body(s), esophageal, with use of balloon catheter, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciotomy, iliotibial (tenotomy), open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27305", "description": "Fasciotomy, iliotibial (tenotomy), open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 832.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucagon tolerance test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82946", "description": "Glucagon tolerance test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63287", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, intramedullary, thoracolumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5017.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6212", "description": "Foam dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26373", "description": "Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1555.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88344", "description": "Immunohistochemistry or immunocytochemistry, per specimen; each multiplex antibody stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, elbow, surgical; debridement, extensive", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29838", "description": "Arthroscopy, elbow, surgical; debridement, extensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 999.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4199", "description": "PARNTRAL NUT SOL; AMINO ACID&CARB > 100 GMS PPAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 709.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90838", "description": "Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ceftolozane 50 mg and tazobactam 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0695", "description": "Injection, ceftolozane 50 mg and tazobactam 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4430", "description": "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33745", "description": "Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1691.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 180.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; urine (eg, microalbumin), quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82043", "description": "Albumin; urine (eg, microalbumin), quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovesical fistula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45800", "description": "Closure of rectovesical fistula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2210.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB SGNIPT CFDNA SEQ ALYS 1+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0489U", "description": "OB SGNIPT CFDNA SEQ ALYS 1+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1730.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOSPHAMD SANDOZ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9074", "description": "INJ CYCLOPHOSPHAMD SANDOZ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOSPHAMIDE NOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9075", "description": "INJ CYCLOPHOSPHAMIDE NOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED HOME APNEA MNTR RVW I R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94777", "description": "PED HOME APNEA MNTR RVW I R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20150", "description": "Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1654.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST DFRM 7-12 VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22802", "description": "ARTHRD PST DFRM 7-12 VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3551.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44602", "description": "Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2351.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4314", "description": "Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STK WAIST L 40MMHG OR< CST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6564", "description": "GD CMP STK WAIST L 40MMHG OR< CST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1640.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88305", "description": "LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of temporary indwelling bladder catheter; simple (eg, Foley)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51702", "description": "Insertion of temporary indwelling bladder catheter; simple (eg, Foley)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 119.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ocular surface reconstruction; amniotic membrane transplantation, multiple layers", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65780", "description": "Ocular surface reconstruction; amniotic membrane transplantation, multiple layers", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 895.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Testicular imaging with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78761", "description": "Testicular imaging with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 281.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg splint, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4048", "description": "Cast supplies, short leg splint, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOVASHIELD/NOVOGEN PR SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2045", "description": "NOVASHIELD/NOVOGEN PR SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral infusion pump, stationary, single, or multichannel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0791", "description": "Parenteral infusion pump, stationary, single, or multichannel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 551.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with endoscopic mucosal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45349", "description": "Sigmoidoscopy, flexible; with endoscopic mucosal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein (a)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83695", "description": "Lipoprotein (a)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osmotic fragility, RBC; incubated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85557", "description": "Osmotic fragility, RBC; incubated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospice evaluation and counseling services, preelection", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0337", "description": "Hospice evaluation and counseling services, preelection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transferase; alanine amino (ALT) (SGPT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84460", "description": "Transferase; alanine amino (ALT) (SGPT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9961", "description": "High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0141", "description": "Walker, rigid, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactose, urine, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83633", "description": "Lactose, urine, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, carpometacarpal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26130", "description": "Synovectomy, carpometacarpal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 822.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubular dressing with or without elastic, any width, per linear yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6457", "description": "Tubular dressing with or without elastic, any width, per linear yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Zonisamide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80203", "description": "Zonisamide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch attachment, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0157", "description": "Crutch attachment, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with graft other than vein; upper extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35266", "description": "Repair blood vessel with graft other than vein; upper extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1439.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86316", "description": "Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1232", "description": "Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 457.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44603", "description": "Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2698.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, leg, through tibia and fibula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27880", "description": "Amputation, leg, through tibia and fibula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1496.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2733.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Level I - Surgical pathology, gross examination only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88300", "description": "Level I - Surgical pathology, gross examination only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM VWD PROPEPTIDE AG LVL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0281U", "description": "HEM VWD PROPEPTIDE AG LVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of implanted intra-arterial infusion pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36261", "description": "Revision of implanted intra-arterial infusion pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 741.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 233.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrojejunostomy; without vagotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43820", "description": "Gastrojejunostomy; without vagotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2288.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fomepizole, 15 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1451", "description": "Injection, fomepizole, 15 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SFTY MED PHYSICS XM CSTMZ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76017", "description": "MR SFTY MED PHYSICS XM CSTMZ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95984", "description": "ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COPPER CU-64 DOTATATE DIAGNOSTIC 1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9592", "description": "COPPER CU-64 DOTATATE DIAGNOSTIC 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1645.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY FLECAINIDE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80181", "description": "DRUG ASSAY FLECAINIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, glenohumeral joint, any type multi-directional instability", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23466", "description": "Capsulorrhaphy, glenohumeral joint, any type multi-directional instability", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1854.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salpingostomy (salpingoneostomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58770", "description": "Salpingostomy (salpingoneostomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1350.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50592", "description": "Ablation, 1 or more renal tumor(s), percutaneous, unilateral, radiofrequency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 513.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82274", "description": "Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterotomy with exploration or drainage (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50600", "description": "Ureterotomy with exploration or drainage (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1465.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2606", "description": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 451.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "O2 UPTK CO2 OUTP % O2 XTRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94681", "description": "O2 UPTK CO2 OUTP % O2 XTRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28043", "description": "Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 430.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0821", "description": "Power wheelchair, group 2 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 492.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93971", "description": "Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0008U", "description": "HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD ORGN NEO TGSAP 361", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0444U", "description": "ONC SLD ORGN NEO TGSAP 361", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV LITHOTRP FPVT W/IN SM ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37279", "description": "IV LITHOTRP FPVT W/IN SM ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 326.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64645", "description": "Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14040", "description": "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 957.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PRST8 ALG ALYS MSI&HRD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0513U", "description": "ONC PRST8 ALG ALYS MSI&HRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48155", "description": "Pancreatectomy, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3116.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88029", "description": "Necropsy (autopsy), gross and microscopic; stillborn or newborn with brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0957", "description": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25290", "description": "Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 739.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vermilionectomy (lip shave), with mucosal advancement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40500", "description": "Vermilionectomy (lip shave), with mucosal advancement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 585.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74174", "description": "Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amniocentesis; diagnostic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59000", "description": "Amniocentesis; diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CATH SLCT P-ART ANGRP BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93573", "description": "NJX CATH SLCT P-ART ANGRP BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3839.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilirubin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82247", "description": "Bilirubin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56515", "description": "Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 337.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25320", "description": "CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1657.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2641.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, elevating legrest, complete assembly, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0990", "description": "Wheelchair accessory, elevating legrest, complete assembly, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4417", "description": "Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34812", "description": "Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED VSCLTS KD ALYS 3 BMRKS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0310U", "description": "PED VSCLTS KD ALYS 3 BMRKS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short leg cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4037", "description": "Cast supplies, short leg cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58660", "description": "Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1127.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43231", "description": "Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31651", "description": "BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total lung lavage (unilateral)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32997", "description": "Total lung lavage (unilateral)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 510.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57156", "description": "Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 216.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GRMNT TORSO&SHLDR EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6568", "description": "GRADIENT COMPR GRMNT TORSO&SHLDR EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, calf rest/pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0995", "description": "Wheelchair accessory, calf rest/pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, carpal bone, shortening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25394", "description": "Osteoplasty, carpal bone, shortening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pad for water circulating heat unit, for replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0249", "description": "Pad for water circulating heat unit, for replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0141", "description": "Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87143", "description": "Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, glucagon HCl, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1610", "description": "Injection, glucagon HCl, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; additional high resolution study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88289", "description": "Chromosome analysis; additional high resolution study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); open, internal mammary node(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38530", "description": "Biopsy or excision of lymph node(s); open, internal mammary node(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 953.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by rapid antibody test of oral mucosa transudate, HIV-1 or HIV-2, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0435", "description": "Infectious agent antigen detection by rapid antibody test of oral mucosa transudate, HIV-1 or HIV-2, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heparin assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85520", "description": "Heparin assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with band ligation of esophageal varices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43205", "description": "Esophagoscopy, flexible, transoral; with band ligation of esophageal varices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cushion for use on nasal mask interface, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7032", "description": "Cushion for use on nasal mask interface, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 535.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97598", "description": "DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MPL GENE SEQ ALYS EXON 10", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81339", "description": "MPL GENE SEQ ALYS EXON 10", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70553", "description": "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 378.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIVALIRUDIN ENDO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0582", "description": "BIVALIRUDIN ENDO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0615", "description": "Pacemaker monitor, self-contained, checks battery depletion and other pacemaker components, includes digital/visible check systems", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83013", "description": "Helicobacter pylori; breath test analysis for urease activity, non-radioactive isotope (eg, C-13)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTECTOMY SCAPULA PARTIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23190", "description": "OSTECTOMY SCAPULA PARTIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 984.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immune complex assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86332", "description": "Immune complex assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 913.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution, per 10 grams lipids", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4185", "description": "Parenteral nutrition solution, per 10 grams lipids", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcutaneous electrical nerve stimulation (TENS) device, 2 lead, localized stimulation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0720", "description": "Transcutaneous electrical nerve stimulation (TENS) device, 2 lead, localized stimulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, femoral condyles or tibial plateau(s), knee;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27442", "description": "Arthroplasty, femoral condyles or tibial plateau(s), knee;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1444.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOLAB WRAP FLOW PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4418", "description": "BIOLAB WRAP FLOW PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACETEC & FORAMOT CRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63045", "description": "LAM FACETEC & FORAMOT CRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2330.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93924", "description": "N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87485", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prednisone, immediate release or delayed release, oral, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7512", "description": "Prednisone, immediate release or delayed release, oral, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81224", "description": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg, male infertility)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, mobile or stationary, with fixed arms", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0163", "description": "Commode chair, mobile or stationary, with fixed arms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26665", "description": "Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1026.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heparin neutralization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85525", "description": "Heparin neutralization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin, chorionic (hCG); qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84703", "description": "Gonadotropin, chorionic (hCG); qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59200", "description": "Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7197.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DENOSUMAB-BMWO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5157", "description": "INJ DENOSUMAB-BMWO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2214", "description": "Manual wheelchair accessory, pneumatic caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51701", "description": "Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADENOVIRUS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87809", "description": "ADENOVIRUS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8162.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electric heat pad, moist", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0215", "description": "Electric heat pad, moist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45338", "description": "Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of penetrating wound (separate procedure); abdomen/flank/back", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20102", "description": "Exploration of penetrating wound (separate procedure); abdomen/flank/back", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 446.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2341", "description": "Power wheelchair accessory, nonstandard seat frame width, 24-27 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 861.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Particle agglutination; titer, each antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86406", "description": "Particle agglutination; titer, each antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23675", "description": "Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 917.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB PE BIOCHEM ASY SFLT1&PLGF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0482U", "description": "OB PE BIOCHEM ASY SFLT1&PLGF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of hydrocele; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55040", "description": "Excision of hydrocele; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 552.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31254", "description": "Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77048", "description": "MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 423.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO TRI-CORE AMNIOTIC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4295", "description": "AMNIO TRI-CORE AMNIOTIC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44139", "description": "Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28288", "description": "Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 728.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 565.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, penicillin G benzathine, 100,000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0561", "description": "Injection, penicillin G benzathine, 100,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN CL SSP AGRFT T/A/L 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15015", "description": "APP SKN CL SSP AGRFT T/A/L 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43286", "description": "ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5375.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, oxymorphone HCl, up to 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2410", "description": "Injection, oxymorphone HCl, up to 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special height arms for wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1227", "description": "Special height arms for wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 593.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement electrodes for use with automated external defibrillator, garment type only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0609", "description": "Replacement electrodes for use with automated external defibrillator, garment type only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1913.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KF" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, hard, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8001", "description": "Helmet, protective, hard, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50974", "description": "Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 720.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with resection of external sphincter (sphincterotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52277", "description": "Cystourethroscopy, with resection of external sphincter (sphincterotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 497.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86481", "description": "Tuberculosis test, cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 150.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36479", "description": "ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IBMFS SEQ ALYS PNL 30 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81441", "description": "IBMFS SEQ ALYS PNL 30 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3672.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, aflibercept, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0178", "description": "Injection, aflibercept, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1035.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27810", "description": "Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, radius; distal third", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25350", "description": "Osteotomy, radius; distal third", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1120.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, floxuridine, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9200", "description": "Injection, floxuridine, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6015.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY DIR MEAS FR ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82681", "description": "ASSAY DIR MEAS FR ESTRADIOL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81176", "description": "ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 447.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7372.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Salmonella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86768", "description": "Antibody; Salmonella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77470", "description": "Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFACE LEFORT I 3/>PC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21143", "description": "RCNSTJ MDFACE LEFORT I 3/>PC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2242.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body, intranasal; office type procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30300", "description": "Removal foreign body, intranasal; office type procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81312", "description": "PABPN1 (poly[A] binding protein nuclear 1) (eg, oculopharyngeal muscular dystrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99342", "description": "HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2343", "description": "Power wheelchair accessory, nonstandard seat frame depth, 22-25 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcervical catheterization of fallopian tube, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74742", "description": "Transcervical catheterization of fallopian tube, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88235", "description": "Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bortezomib (Velcade), 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9041", "description": "Injection, bortezomib (Velcade), 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74246", "description": "RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 165.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FACTOR VIIA-JNCW 1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7212", "description": "FACTOR VIIA-JNCW 1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN OSTEOCHONDRL AGRFT TALUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28446", "description": "OPN OSTEOCHONDRL AGRFT TALUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2022.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15774", "description": "GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 216.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81276", "description": "KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; additional variant(s) (eg, codon 61, codon 146)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 427.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ GSTR/JJ ANAST W/O VGTMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43860", "description": "REVJ GSTR/JJ ANAST W/O VGTMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2764.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, rimabotulinumtoxinB, 100 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0587", "description": "Injection, rimabotulinumtoxinB, 100 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RRP HYPSPAD COMP MOBLJ&URTP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54344", "description": "RRP HYPSPAD COMP MOBLJ&URTP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1482.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroglobulin antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86800", "description": "Thyroglobulin antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incision[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27681", "description": "Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incision[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 871.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51736", "description": "Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Organic acids; qualitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83919", "description": "Organic acids; qualitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0217T", "description": "NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 168.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BETA-AMYLOID 1-42 (ABETA 42)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82234", "description": "BETA-AMYLOID 1-42 (ABETA 42)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with faceplate attached, plastic, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4379", "description": "Ostomy pouch, urinary, with faceplate attached, plastic, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carbamazepine; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80156", "description": "Carbamazepine; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0800", "description": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61340", "description": "Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2700.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37236", "description": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0467", "description": "HOME VENTILATOR MULTI-FUNCTION RESPIRATORY DEVC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2367.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26727", "description": "Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 816.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75571", "description": "Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77066", "description": "Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement cover for wheelchair seat cushion or back cushion, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2619", "description": "Replacement cover for wheelchair seat cushion or back cushion, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23485", "description": "Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1561.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD ORG NEO DNA 468 CANCER ASSOCIATED GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0048U", "description": "ONC SLD ORG NEO DNA 468 CANCER ASSOCIATED GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98961", "description": "EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gammaglobulin (immunoglobulin); IgE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82785", "description": "Gammaglobulin (immunoglobulin); IgE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, antihemophilic factor VIII/von Willebrand factor complex (human), per factor VIII i.u.", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7186", "description": "Injection, antihemophilic factor VIII/von Willebrand factor complex (human), per factor VIII i.u.", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrolysis epilation, each 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17380", "description": "Electrolysis epilation, each 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46900", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0148", "description": "Walker, heavy-duty, without wheels, rigid or folding, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology simulation-aided field setting; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77280", "description": "Therapeutic radiology simulation-aided field setting; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61250", "description": "Burr hole(s) or trephine, supratentorial, exploratory, not followed by other surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1663.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed cradle, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0280", "description": "Bed cradle, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99380", "description": "SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP HYDRO PLUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4404", "description": "XWRAP HYDRO PLUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colotomy, for exploration, biopsy(s), or foreign body removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44025", "description": "Colotomy, for exploration, biopsy(s), or foreign body removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1670.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95147", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, cell cycle or DNA analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88182", "description": "Flow cytometry, cell cycle or DNA analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85460", "description": "Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Finger splint, static", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4049", "description": "Finger splint, static", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR ARM SLEEVE&GLOVE COMB EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6575", "description": "GRAD COMPR ARM SLEEVE&GLOVE COMB EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VNGRPH CHD CORONARY SINUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93586", "description": "VNGRPH CHD CORONARY SINUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64653", "description": "Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32561", "description": "Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radial styloidectomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25230", "description": "Radial styloidectomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 738.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, evaluation of fine needle aspirate; interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88173", "description": "Cytopathology, evaluation of fine needle aspirate; interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyruvate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84210", "description": "Pyruvate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4392", "description": "Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2042", "description": "Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869123.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary catheter anchoring device, adhesive skin attachment, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4333", "description": "Urinary catheter anchoring device, adhesive skin attachment, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cefoxitin sodium, 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0694", "description": "Injection, cefoxitin sodium, 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61320", "description": "Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3481.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, PMMA, toric or prism ballast, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2501", "description": "Contact lens, PMMA, toric or prism ballast, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of neuroma; digital nerve, 1 or both, same digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64776", "description": "Excision of neuroma; digital nerve, 1 or both, same digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 664.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy; nasopharynx, visible lesion, simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42804", "description": "Biopsy; nasopharynx, visible lesion, simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin barrier; solid, 8 x 8 or equivalent, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5122", "description": "Skin barrier; solid, 8 x 8 or equivalent, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33264", "description": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 643.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL SHORT LEG CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29405", "description": "APPL SHORT LEG CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DATOPOTAMAB DERUXTECAN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9011", "description": "DATOPOTAMAB DERUXTECAN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kidney imaging morphology;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78700", "description": "Kidney imaging morphology;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dimenhydrinate, up to 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1240", "description": "Injection, dimenhydrinate, up to 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST 3-10 RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49593", "description": "RPR AA HRN 1ST 3-10 RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN US TIS CHARAC W/O DX US", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0689T", "description": "QUAN US TIS CHARAC W/O DX US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calculus; quantitative analysis, chemical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82360", "description": "Calculus; quantitative analysis, chemical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1971.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, dextran 40, 500 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7100", "description": "Infusion, dextran 40, 500 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, shoulder, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73040", "description": "Radiologic examination, shoulder, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26952", "description": "Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal (epiphysiodesis), open; distal tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27730", "description": "Arrest, epiphyseal (epiphysiodesis), open; distal tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1007.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, lesion of tendon sheath, forearm and/or wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25110", "description": "Excision, lesion of tendon sheath, forearm and/or wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ovulation tests, by visual color comparison methods for human luteinizing hormone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84830", "description": "Ovulation tests, by visual color comparison methods for human luteinizing hormone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MR SFTY IMPLT&/FB ASMT STF 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76014", "description": "MR SFTY IMPLT&/FB ASMT STF 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; red blood cell removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38212", "description": "Transplant preparation of hematopoietic progenitor cells; red blood cell removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast pump, manual, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0602", "description": "Breast pump, manual, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac shunt detection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78428", "description": "Cardiac shunt detection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NTRK3 TRANSLOCATION ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81193", "description": "NTRK3 TRANSLOCATION ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; mental nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64736", "description": "Transection or avulsion of; mental nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 531.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33220", "description": "Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 618.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alveoloplasty, each quadrant (specify)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41874", "description": "Alveoloplasty, each quadrant (specify)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 396.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76945", "description": "Ultrasonic guidance for chorionic villus sampling, imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0121", "description": "Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "53" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63252", "description": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5521.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 11-12 studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95912", "description": "Nerve conduction studies; 11-12 studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dalteparin sodium, per 2500 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1645", "description": "Injection, dalteparin sodium, per 2500 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5118.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25272", "description": "Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, elbow; with membrane (eg, fascial)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24360", "description": "Arthroplasty, elbow; with membrane (eg, fascial)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1504.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93797", "description": "Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LUNG CA 4-PRB FISH ASSAY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0317U", "description": "ONC LUNG CA 4-PRB FISH ASSAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3045.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1806.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phenytoin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80185", "description": "Phenytoin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GYPA GNOTYP NTRNS 1 5 EXON 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0189U", "description": "GYPA GNOTYP NTRNS 1 5 EXON 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2003.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 189.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49323", "description": "Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1093.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID-19 AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87635", "description": "SARS-COV-2 COVID-19 AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81329", "description": "SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49507", "description": "Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1035.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis; of distal joint, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26474", "description": "Tenodesis; of distal joint, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1172.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 144.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, foot; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28193", "description": "Removal of foreign body, foot; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 589.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture nasal inferior turbinate(s), therapeutic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30930", "description": "Fracture nasal inferior turbinate(s), therapeutic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, depo-estradiol cypionate, up to 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1000", "description": "Injection, depo-estradiol cypionate, up to 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87653", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of pelvis and hip area; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27040", "description": "Biopsy, soft tissue of pelvis and hip area; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microdissection (ie, sample preparation of microscopically identified target); manual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88381", "description": "Microdissection (ie, sample preparation of microscopically identified target); manual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61791", "description": "Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); trigeminal medullary tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2127.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kidney imaging morphology; with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78701", "description": "Kidney imaging morphology; with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chiropractic manipulative treatment (CMT); spinal, 1-2 regions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98940", "description": "Chiropractic manipulative treatment (CMT); spinal, 1-2 regions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT HRT C+ STRUX CGEN HRT DS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75573", "description": "CT HRT C+ STRUX CGEN HRT DS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81247", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL OI IMPLT SKL TC ESP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69727", "description": "RMVL OI IMPLT SKL TC ESP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 827.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27734", "description": "Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1117.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31276", "description": "Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter therapy, embolization, any method, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75894", "description": "Transcatheter therapy, embolization, any method, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tetanus immune globulin, human, up to 250 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1670", "description": "Injection, tetanus immune globulin, human, up to 250 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 789.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy thyroid, percutaneous core needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60100", "description": "Biopsy thyroid, percutaneous core needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSECTION/AVULSION VAGUS NERVES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64755", "description": "TRANSECTION/AVULSION VAGUS NERVES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1591.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 611.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dexamethasone, oral, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8540", "description": "Dexamethasone, oral, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6512.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, penicillin G potassium, up to 600,000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2540", "description": "Injection, penicillin G potassium, up to 600,000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0017U", "description": "ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33141", "description": "Transmyocardial laser revascularization, by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81002", "description": "URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67225", "description": "DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of breast; open, incisional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19101", "description": "Biopsy of breast; open, incisional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 392.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41019", "description": "PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dehydroepiandrosterone-sulfate (DHEA-S)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82627", "description": "Dehydroepiandrosterone-sulfate (DHEA-S)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEGFILGRSTM-BMEZ BIOSMLR 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5120", "description": "INJ PEGFILGRSTM-BMEZ BIOSMLR 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21440", "description": "Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1067.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27306", "description": "Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ZENOCUTUZUMAB ZBCO 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9382", "description": "INJECTION ZENOCUTUZUMAB ZBCO 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Rubeola", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87283", "description": "Infectious agent antigen detection by immunofluorescent technique; Rubeola", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76770", "description": "Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78431", "description": "MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2909.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0295", "description": "Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37212", "description": "Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 524.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML C ANGIOP 1ART /BR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92920", "description": "PRQ TRLUML C ANGIOP 1ART /BR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 703.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholesterol, serum or whole blood, total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82465", "description": "Cholesterol, serum or whole blood, total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2627", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1769.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88263", "description": "Chromosome analysis; count 45 cells for mosaicism, 2 karyotypes, with banding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0650T", "description": "Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system, with iterative adjustment of the implantable device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STREP A ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87880", "description": "STREP A ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33863", "description": "Ascending aorta graft, with cardiopulmonary bypass, with aortic root replacement using valved conduit and coronary reconstruction (eg, Bentall)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5296.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY SALICYLATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80179", "description": "DRUG ASSAY SALICYLATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99476", "description": "Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 522.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57109", "description": "VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2939.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREP REPORT PT PSYCH STATUS AGENCY/PAYER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90889", "description": "PREP REPORT PT PSYCH STATUS AGENCY/PAYER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31257", "description": "Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 658.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95938", "description": "Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 634.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35189", "description": "Repair, acquired or traumatic arteriovenous fistula; thorax and abdomen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2514.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG POP-TIBL/-PRNL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35671", "description": "BPG POP-TIBL/-PRNL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1880.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61534", "description": "Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3083.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surface application of low dose rate radionuclide source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77789", "description": "Surface application of low dose rate radionuclide source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement, mastoidectomy cavity, simple (eg, routine cleaning)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69220", "description": "Debridement, mastoidectomy cavity, simple (eg, routine cleaning)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with dilation (eg, balloon, guide wire, bougie)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46604", "description": "Anoscopy; with dilation (eg, balloon, guide wire, bougie)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0002M", "description": "LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 755.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61613", "description": "Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6068.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOEXL AMNIOEL PLUS/BIODEXL P SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4137", "description": "AMNIOEXL AMNIOEL PLUS/BIODEXL P SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80069", "description": "RENAL FUNCTION PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72270", "description": "Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96910", "description": "Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3739.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26861", "description": "Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm splint, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4023", "description": "Cast supplies, short arm splint, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fistulization of sclera for glaucoma; thermocauterization with iridectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66155", "description": "Fistulization of sclera for glaucoma; thermocauterization with iridectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81239", "description": "DMPK (DM1 protein kinase) (eg, myotonic dystrophy type 1) gene analysis; characterization of alleles (eg, expanded size)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PULM DS IPF MRNA 190 GEN ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81554", "description": "PULM DS IPF MRNA 190 GEN ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8114.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4415", "description": "Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 in, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58575", "description": "LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3196.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UPPER EXTREMITY REHAB", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0738", "description": "UPPER EXTREMITY REHAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3059.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99446", "description": "Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87166", "description": "Dark field examination, any source (eg, penile, vaginal, oral, skin); without collection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92083", "description": "VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43287", "description": "ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6010.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmastoid antrotomy (simple mastoidectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69501", "description": "Transmastoid antrotomy (simple mastoidectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1121.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of finger abscess; complicated (eg, felon)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26011", "description": "Drainage of finger abscess; complicated (eg, felon)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 326.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6255", "description": "Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECTRO PUMP ENEMA REUSABLE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4479", "description": "ELECTRO PUMP ENEMA REUSABLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG ALYS CHRML ABNR LW-PS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81349", "description": "CYTOG ALYS CHRML ABNR LW-PS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1796.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TPRNL MRI-US 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55712", "description": "BX PRST8 TPRNL MRI-US 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, external, 2 or more columns/groups", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46250", "description": "Hemorrhoidectomy, external, 2 or more columns/groups", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST KNEE EXTENSION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1813", "description": "ADJUST KNEE EXTENSION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyanocobalamin (Vitamin B-12);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82607", "description": "Cyanocobalamin (Vitamin B-12);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of peritoneal-venous shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49429", "description": "Removal of peritoneal-venous shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 794.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4435", "description": "Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63290", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion, any level", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5101.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; distal radius", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25441", "description": "Arthroplasty with prosthetic replacement; distal radius", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1560.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with cardiac massage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32160", "description": "Thoracotomy; with cardiac massage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1401.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7313", "description": "Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 721.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2714.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of coccygeal fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27202", "description": "Open treatment of coccygeal fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 891.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilirubin; feces, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82252", "description": "Bilirubin; feces, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, inotuzumab ozogamicin, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9229", "description": "Injection, inotuzumab ozogamicin, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3986.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ IVIG PRIVIGEN 500 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1459", "description": "INJ IVIG PRIVIGEN 500 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TBS TECHL CALCULATION ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77091", "description": "TBS TECHL CALCULATION ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63085", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic, single segment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3388.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 201.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision tracheal stenosis and anastomosis; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31780", "description": "Excision tracheal stenosis and anastomosis; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1811.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NO PT PRSNT TRAIN INITIAL 30", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0541", "description": "NO PT PRSNT TRAIN INITIAL 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCL LAA OPEN ANY METHOD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33267", "description": "EXCL LAA OPEN ANY METHOD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1798.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81439", "description": "HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50542", "description": "Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1823.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90963", "description": "ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1066.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27848", "description": "Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1316.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEG PNEUM COMP 2 ARM CHEST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0658", "description": "SEG PNEUM COMP 2 ARM CHEST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44157", "description": "Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3736.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9537", "description": "Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ TRLUML CORONRY LITHOTRP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92972", "description": "PERQ TRLUML CORONRY LITHOTRP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrostomy/jejunostomy tube, standard, any material, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4087", "description": "Gastrostomy/jejunostomy tube, standard, any material, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81343", "description": "PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision; trochanteric bursa or calcification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27062", "description": "Excision; trochanteric bursa or calcification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 774.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55920", "description": "Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dermabrasion; regional, other than face", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15782", "description": "Dermabrasion; regional, other than face", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0453", "description": "CONT IO NEUROPHYSIOL MON OUTSD OR-PT EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2611", "description": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2361", "description": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27632", "description": "Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 705.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50684", "description": "Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9560", "description": "Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement pad for use with medically necessary alternating pressure pad owned by patient", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4640", "description": "Replacement pad for use with medically necessary alternating pressure pad owned by patient", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7506", "description": "Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve, any type each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BORRELIA MIYAMOTOI AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87478", "description": "BORRELIA MIYAMOTOI AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28295", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal metatarsal osteotomy, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 992.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REHAB SYS ACTIVE ASSIST RT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0739", "description": "REHAB SYS ACTIVE ASSIST RT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2396.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92240", "description": "Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 354.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3483.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterostomy, transplantation of ureter to skin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50860", "description": "Ureterostomy, transplantation of ureter to skin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1484.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collection of capillary blood specimen (eg, finger, heel, ear stick)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36416", "description": "Collection of capillary blood specimen (eg, finger, heel, ear stick)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hand; minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73130", "description": "Radiologic examination, hand; minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0669", "description": "Segmental pneumatic appliance for use with pneumatic compressor, half leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INT PSYCH CARE MNG 1 CAL MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0568", "description": "INT PSYCH CARE MNG 1 CAL MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, upper arm or elbow area; subcutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24200", "description": "Removal of foreign body, upper arm or elbow area; subcutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Viscosity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85810", "description": "Viscosity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78481", "description": "CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33017", "description": "PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 388.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99192", "description": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 532.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty and/or transposition; ulnar nerve at wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64719", "description": "Neuroplasty and/or transposition; ulnar nerve at wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19297", "description": "PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Near-infrared dual imaging (ie, simultaneous reflective and trans-illuminated light) of meibomian glands, unilateral or bilateral, with interpretation and report", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0507T", "description": "Near-infrared dual imaging (ie, simultaneous reflective and trans-illuminated light) of meibomian glands, unilateral or bilateral, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home blood glucose monitor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0607", "description": "Home blood glucose monitor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY SARS-COV-2 TITER(S)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0224U", "description": "ANTIBODY SARS-COV-2 TITER(S)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11602", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58611", "description": "LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HSV 1&2 VZV AMP PRB TQ PTHGN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0527U", "description": "HSV 1&2 VZV AMP PRB TQ PTHGN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complete repair tetralogy of Fallot without pulmonary atresia;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33692", "description": "Complete repair tetralogy of Fallot without pulmonary atresia;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3303.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92202", "description": "OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61697", "description": "Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7625.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, internal mammary, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75756", "description": "Angiography, internal mammary, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stump elongation, upper extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24935", "description": "Stump elongation, upper extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2042.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, magnesium sulfate, per 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3475", "description": "Injection, magnesium sulfate, per 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal with reinsertion, non-biodegradable drug delivery implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11983", "description": "Removal with reinsertion, non-biodegradable drug delivery implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY VEDOLIZUMAB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80280", "description": "DRUG ASSAY VEDOLIZUMAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ventricular assist device; extracorporeal, single ventricle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33975", "description": "Insertion of ventricular assist device; extracorporeal, single ventricle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2149.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69644", "description": "TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2423.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, amikacin sulfate, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0278", "description": "Injection, amikacin sulfate, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dissection, deep jugular node(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38542", "description": "Dissection, deep jugular node(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 833.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, complete assembly, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0045", "description": "Footrest, complete assembly, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PHENYLEPHRINE HCL 20 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2371", "description": "INJECTION PHENYLEPHRINE HCL 20 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4150", "description": "ENTRAL F NUTRITIONALLY CMPL W/INTACT NUTRIENTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50728", "description": "Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1112.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0880", "description": "Traction stand, freestanding, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estrogens; fractionated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82671", "description": "Estrogens; fractionated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 90.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transferase; aspartate amino (AST) (SGOT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84450", "description": "Transferase; aspartate amino (AST) (SGOT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61518", "description": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5093.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC OROP 17 DNA DDPCR ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0356U", "description": "ONC OROP 17 DNA DDPCR ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2700.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NSL/SINUS NDSC CRYOABLTJ PNN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31243", "description": "NSL/SINUS NDSC CRYOABLTJ PNN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MICAFUNG SD NOT TX EQ J2248/1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2247", "description": "INJ MICAFUNG SD NOT TX EQ J2248/1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit), home mix", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4178", "description": "Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit), home mix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 167.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV-1 AG W/HIV-1 & -2 AB AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87389", "description": "HIV-1 AG W/HIV-1 & -2 AB AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "METHOTREXATE XATMEP ORAL 2.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8612", "description": "METHOTREXATE XATMEP ORAL 2.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28262", "description": "Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant clubfoot deformity)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1845.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31086", "description": "Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1865.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36800", "description": "Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with fimbrioplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58672", "description": "Laparoscopy, surgical; with fimbrioplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1144.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43220", "description": "Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of intestinal cutaneous fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44640", "description": "Closure of intestinal cutaneous fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2323.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 173.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bleeding time", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85002", "description": "Bleeding time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of esophageal sphincter augmentation device", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43285", "description": "Removal of esophageal sphincter augmentation device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1175.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLDR 10 FLWG TRURL RESCJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0367U", "description": "ONC BLDR 10 FLWG TRURL RESCJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1353.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical peel, nonfacial; dermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15793", "description": "Chemical peel, nonfacial; dermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7994.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0692", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1809.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44389", "description": "Colonoscopy through stoma; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28298", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with proximal phalanx osteotomy, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 847.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG SUP PD TXT P/YD ANY W EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6606", "description": "GD CMP BDG SUP PD TXT P/YD ANY W EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95144", "description": "Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evisceration of ocular contents; without implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65091", "description": "Evisceration of ocular contents; without implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1156.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27441", "description": "Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1380.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD LAT XTRCVTRY TQ LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22533", "description": "ARTHRD LAT XTRCVTRY TQ LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2832.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sesamoidectomy, thumb or finger (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26185", "description": "Sesamoidectomy, thumb or finger (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 981.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST DFRM 13+ VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22804", "description": "ARTHRD PST DFRM 13+ VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4081.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; ilioiliac", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35563", "description": "Bypass graft, with vein; ilioiliac", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2206.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of temporomandibular dislocation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21490", "description": "Open treatment of temporomandibular dislocation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1241.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM IMG ACQUISJ I R EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96934", "description": "RCM IMG ACQUISJ I R EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement or irrigation, subarachnoid/subdural catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62194", "description": "Replacement or irrigation, subarachnoid/subdural catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 982.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; optic foramina", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70190", "description": "Radiologic examination; optic foramina", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENATI MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4435", "description": "RENATI MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, daratumumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9145", "description": "Injection, daratumumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical cauterization of granulation tissue (ie, proud flesh)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17250", "description": "Chemical cauterization of granulation tissue (ie, proud flesh)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61703", "description": "Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2553.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, caffeine citrate, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0706", "description": "Injection, caffeine citrate, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29898", "description": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 924.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor inhibitor test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85335", "description": "Factor inhibitor test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REM OCT RTA TECHL SPRT MIN 8", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0605T", "description": "REM OCT RTA TECHL SPRT MIN 8", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1355.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92136", "description": "Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0046", "description": "Elevating legrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; other source, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82042", "description": "Albumin; other source, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT CERE PRFU ALY C+WO CT/CTA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70473", "description": "CT CERE PRFU ALY C+WO CT/CTA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0671", "description": "Segmental gradient pressure pneumatic appliance, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 665.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT UI CATH; DISP MATL SP PER MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6590", "description": "EXT UI CATH; DISP MATL SP PER MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 669.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0271", "description": "MED NUT TX REASSESS FLW 2 REF YR GRP EA 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27100", "description": "Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1397.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharyngoesophageal repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42953", "description": "Pharyngoesophageal repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1584.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43278", "description": "ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25660", "description": "Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 799.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOLAB WRAP SOLO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4421", "description": "BIOLAB WRAP SOLO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33265", "description": "Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure), without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2354.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49020", "description": "Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2703.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIODFENCE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4140", "description": "BIODFENCE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 IN-BORE CT/MRI 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55714", "description": "BX PRST8 IN-BORE CT/MRI 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 294.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54405", "description": "Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1272.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5849.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57308", "description": "Closure of rectovaginal fistula; transperineal approach, with perineal body reconstruction, with or without levator plication", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1109.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GEMCITABINE HYDROCHLORDE 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9198", "description": "INJ GEMCITABINE HYDROCHLORDE 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 615.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52000", "description": "Cystourethroscopy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35112", "description": "Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2722.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 556.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 149.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cutaneous appendico-vesicostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50845", "description": "Cutaneous appendico-vesicostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1970.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Trichinella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86784", "description": "Antibody; Trichinella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43250", "description": "Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4200.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous thrombosis imaging, venogram; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78457", "description": "Venous thrombosis imaging, venogram; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 236.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of superficial wound dehiscence; with packing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12021", "description": "Treatment of superficial wound dehiscence; with packing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral shaft fracture, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27500", "description": "Closed treatment of femoral shaft fracture, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1529.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81205", "description": "BCKDHB (branched-chain keto acid dehydrogenase E1, beta polypeptide) (eg, maple syrup urine disease) gene analysis, common variants (eg, R183P, G278S, E422X)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACCES CUST GRAD SILIC BAND", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6548", "description": "ACCES CUST GRAD SILIC BAND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pregnenolone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84140", "description": "Pregnenolone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9319", "description": "INJECTION ROMIDEPSIN LYOPHILIZED 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63103", "description": "VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 492.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calprotectin, fecal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83993", "description": "Calprotectin, fecal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA typing; DR/DQ, multiple antigens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86817", "description": "HLA typing; DR/DQ, multiple antigens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciectomy, plantar fascia; radical (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28062", "description": "Fasciectomy, plantar fascia; radical (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 666.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, proximal end, head; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27267", "description": "Closed treatment of femoral fracture, proximal end, head; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 772.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0826", "description": "Power wheelchair, group 2 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1199.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0198", "description": "Water pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12032", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, interferon beta-1a, 1 mcg for intramuscular use", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q3027", "description": "Injection, interferon beta-1a, 1 mcg for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of corneal epithelium; with application of chelating agent (eg, EDTA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65436", "description": "Removal of corneal epithelium; with application of chelating agent (eg, EDTA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25145", "description": "Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOTHELIUM FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4387", "description": "NEOTHELIUM FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cast, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4029", "description": "Cast supplies, long leg cast, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cam release assembly, footrest or legrest, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0051", "description": "Cam release assembly, footrest or legrest, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ankle disarticulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27889", "description": "Ankle disarticulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1076.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1ST PSYC COLLAB CARE MGMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99492", "description": "1ST PSYC COLLAB CARE MGMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; additional karyotypes, each study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88280", "description": "Chromosome analysis; additional karyotypes, each study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginectomy, complete removal of vaginal wall;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57110", "description": "Vaginectomy, complete removal of vaginal wall;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1413.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81176", "description": "ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 362.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX HUM FX WO NTRCNDYLR XTN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24545", "description": "OPTX HUM FX WO NTRCNDYLR XTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1543.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of complete atrioventricular canal, with or without prosthetic valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33670", "description": "Repair of complete atrioventricular canal, with or without prosthetic valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3321.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, back upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0982", "description": "Wheelchair accessory, back upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specific gravity (except urine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84315", "description": "Specific gravity (except urine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY ADALIMUMAB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80145", "description": "DRUG ASSAY ADALIMUMAB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93457", "description": "CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1522.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77373", "description": "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1753.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0842", "description": "Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 758.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; cytomegalovirus (CMV)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86644", "description": "Antibody; cytomegalovirus (CMV)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97530", "description": "Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin test; unlisted antigen, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86486", "description": "Skin test; unlisted antigen, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41252", "description": "Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1932.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Safety vest, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0980", "description": "Safety vest, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; supraorbital nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64732", "description": "Transection or avulsion of; supraorbital nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 919.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinectomy; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30160", "description": "Rhinectomy; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1285.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42970", "description": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 901.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable ankle extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1815", "description": "Dynamic adjustable ankle extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; tolerance test (GTT), 3 specimens (includes glucose)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82951", "description": "Glucose; tolerance test (GTT), 3 specimens (includes glucose)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carpectomy; 1 bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25210", "description": "Carpectomy; 1 bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography, posterior fossa, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70010", "description": "Myelography, posterior fossa, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrodes (e.g., apnea monitor), per pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4556", "description": "Electrodes (e.g., apnea monitor), per pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99477", "description": "INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 497.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37193", "description": "RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 530.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION B9 LESIONS 15/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17111", "description": "DESTRUCTION B9 LESIONS 15/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70336", "description": "Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1146.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0583T", "description": "TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrotomy; with suture repair of bleeding ulcer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43501", "description": "Gastrotomy; with suture repair of bleeding ulcer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2319.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC THRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22610", "description": "ARTHRD PST TQ 1NTRSPC THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2327.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31235", "description": "NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, with trunk support, adjustable or fixed height, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0140", "description": "Walker, with trunk support, adjustable or fixed height, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; toe(s), minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73660", "description": "Radiologic examination; toe(s), minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Windowing of cast", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29730", "description": "Windowing of cast", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction equipment, overdoor, cervical", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0860", "description": "Traction equipment, overdoor, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.81, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR-T RECEIPT&PREPJ ADMN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38227", "description": "CAR-T RECEIPT&PREPJ ADMN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2621", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ P-ART REVSC 1 ABNOR UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33902", "description": "PERQ P-ART REVSC 1 ABNOR UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1182.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27829", "description": "Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1201.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shortening of tendon, extensor, hand or finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26477", "description": "Shortening of tendon, extensor, hand or finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1095.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciectomy, plantar fascia; partial (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28060", "description": "Fasciectomy, plantar fascia; partial (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 600.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess; submaxillary, external", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42320", "description": "Drainage of abscess; submaxillary, external", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43361", "description": "GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4593.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of metacarpal fracture, each bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26608", "description": "Percutaneous skeletal fixation of metacarpal fracture, each bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 829.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4197", "description": "PARNTRAL NUT SOL; AMINO ACID&CARB 74-100 GM PROT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 620.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 11745.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEUM COMPR CNTRL W/CALIBR GRD P", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0680", "description": "NONPNEUM COMPR CNTRL W/CALIBR GRD P", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1075.23, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM VERTEBRAL ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35005", "description": "DIR RPR ANEURYSM VERTEBRAL ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1663.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81416", "description": "EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18000.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55821", "description": "PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27280", "description": "Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2369.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, except by refractometry; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84155", "description": "Protein, total, except by refractometry; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REM MNTR PHYSIOL PARAM 2-15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99445", "description": "REM MNTR PHYSIOL PARAM 2-15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration; intralesional, more than 7 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96406", "description": "Chemotherapy administration; intralesional, more than 7 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGE MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4297", "description": "EMERGE MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1079.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin beta, 1 microgram, (for ESRD on dialysis)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0887", "description": "Injection, epoetin beta, 1 microgram, (for ESRD on dialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anterior palate, including vomer flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42235", "description": "Repair of anterior palate, including vomer flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1219.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SVNT SARSCOV2 ELISA PLSM SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0226U", "description": "SVNT SARSCOV2 ELISA PLSM SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46947", "description": "Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 683.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0853", "description": "Power wheelchair, group 3 very heavy-duty, captain's chair, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2010.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43635", "description": "Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GEMCITABINE INTRAVESICAL SYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9183", "description": "GEMCITABINE INTRAVESICAL SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103426.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED HOME APNEA MNTR DL ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94776", "description": "PED HOME APNEA MNTR DL ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 435.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28306", "description": "Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transposition and/or reimplantation; carotid to subclavian artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35695", "description": "Transposition and/or reimplantation; carotid to subclavian artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1710.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIFFUSING CAPACITY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94729", "description": "DIFFUSING CAPACITY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Real-time spectral analysis of prostate tissue by fluorescence spectroscopy, including imaging guidance (List separately in addition to code for primary procedure)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0443T", "description": "Real-time spectral analysis of prostate tissue by fluorescence spectroscopy, including imaging guidance (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft with microvascular anastomosis; fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20955", "description": "Bone graft with microvascular anastomosis; fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4043.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60505", "description": "Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration, sternal split or transthoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2109.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36478", "description": "Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5500", "description": "For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multidensity insert(s), per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81247", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; common variant(s) (eg, A, A-)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VIII (AHG), 1-stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85240", "description": "Clotting; factor VIII (AHG), 1-stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 EA ADD MRI-US/CT/MR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55715", "description": "BX PRST8 EA ADD MRI-US/CT/MR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat lift mechanism", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0985", "description": "Wheelchair accessory, seat lift mechanism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, wheeled, rigid or folding, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0149", "description": "Walker, heavy-duty, wheeled, rigid or folding, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor VIII, VW factor, ristocetin cofactor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85245", "description": "Clotting; factor VIII, VW factor, ristocetin cofactor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ferritin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82728", "description": "Ferritin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cast, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4031", "description": "Cast supplies, long leg cast, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3560.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87271", "description": "Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus, direct fluorescent antibody (DFA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2531", "description": "Contact lens, scleral, gas permeable, per lens (for contact lens modification, see 92325)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 995.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Axillary lymphadenectomy; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38740", "description": "Axillary lymphadenectomy; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1225.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ileoscopy, through stoma; with transendoscopic balloon dilation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44381", "description": "Ileoscopy, through stoma; with transendoscopic balloon dilation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of lymph node abscess or lymphadenitis; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38300", "description": "Drainage of lymph node abscess or lymphadenitis; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 391.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heat lamp, with stand, includes bulb, or infrared element", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0205", "description": "Heat lamp, with stand, includes bulb, or infrared element", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57180", "description": "Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Canister, disposable, used with suction pump, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7000", "description": "Canister, disposable, used with suction pump, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE EP EVAL ABLTJ ATR FIB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93656", "description": "COMPRE EP EVAL ABLTJ ATR FIB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1465.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87539", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, quantification, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26428", "description": "Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining graft), each finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1413.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD BACKUP INV INTRFC TRACH TUBE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0472", "description": "RAD BACKUP INV INTRFC TRACH TUBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43520", "description": "Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1244.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1232.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0143", "description": "Walker, folding, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95004", "description": "Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43280", "description": "Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1848.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, for paternity testing, per individual; ABO, Rh and MN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86910", "description": "Blood typing, for paternity testing, per individual; ABO, Rh and MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peak expiratory flow rate meter, hand held", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4614", "description": "Peak expiratory flow rate meter, hand held", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1419.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19307", "description": "Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2051.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ SANDOZ NOT THR EQ J9305 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9297", "description": "INJ SANDOZ NOT THR EQ J9305 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77318", "description": "Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 556.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78430", "description": "MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2202.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complex uroflowmetry (eg, calibrated electronic equipment)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51741", "description": "Complex uroflowmetry (eg, calibrated electronic equipment)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1160.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fat stain, feces, urine, or respiratory secretions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89125", "description": "Fat stain, feces, urine, or respiratory secretions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC TPVT ANGIO SF 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37280", "description": "REVSC EVSC TPVT ANGIO SF 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 814.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture great toe, phalanx or phalanges; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28490", "description": "Closed treatment of fracture great toe, phalanx or phalanges; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0069U", "description": "Oncology (colorectal), microRNA, RT-PCR expression profiling of miR-31-3p, formalin-fixed paraffin-embedded tissue, algorithm reported as an expression score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61591", "description": "INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5046.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1230", "description": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 475.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, total, abdominal, with proctectomy; with continent ileostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44156", "description": "Colectomy, total, abdominal, with proctectomy; with continent ileostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3929.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83516", "description": "Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, acyclovir, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0133", "description": "Injection, acyclovir, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, by intracavitary administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79200", "description": "Radiopharmaceutical therapy, by intracavitary administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMP ARM SLEEVE CUST HVY WT EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6577", "description": "GRAD COMP ARM SLEEVE CUST HVY WT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 15 MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9487", "description": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 15 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; vagus nerve (vagotomy), abdominal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64760", "description": "Transection or avulsion of; vagus nerve (vagotomy), abdominal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 930.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0513", "description": "PRLNG PREV SRVC OFC/OTH O/P RQR DIR CTC;1ST 30 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64617", "description": "Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clozapine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80159", "description": "Clozapine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, nalbuphine HCl, per 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2300", "description": "Injection, nalbuphine HCl, per 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99156", "description": "MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0056", "description": "Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; high molecular weight kininogen assay (Fitzgerald factor assay)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85293", "description": "Clotting; high molecular weight kininogen assay (Fitzgerald factor assay)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, ankle, including exploration, drainage, or removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27610", "description": "Arthrotomy, ankle, including exploration, drainage, or removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1086.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (2-piece system), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4425", "description": "Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (2-piece system), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LWR XTR FSCL PLN BLK UNI NFS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64474", "description": "LWR XTR FSCL PLN BLK UNI NFS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35305", "description": "Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2015.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1391", "description": "Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NPS SURG DILAT EUST TUBE BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69706", "description": "NPS SURG DILAT EUST TUBE BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59852", "description": "INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 980.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27698", "description": "Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95722", "description": "EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 365.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30801", "description": "Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; lower extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35226", "description": "Repair blood vessel, direct; lower extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1381.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL BAT MODULJ SYS TOT SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64657", "description": "RMVL BAT MODULJ SYS TOT SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1153.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2620", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 647.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38208", "description": "Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST KNEE FLEXION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1814", "description": "ADJUST KNEE FLEXION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33688", "description": "Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3181.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of urachal cyst or sinus, with or without umbilical hernia repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51500", "description": "Excision of urachal cyst or sinus, with or without umbilical hernia repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1013.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of urethral stricture by passage of sound or urethral dilator, male; initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53600", "description": "Dilation of urethral stricture by passage of sound or urethral dilator, male; initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TX HUMRL SHAFT FX IMED IMPLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24516", "description": "TX HUMRL SHAFT FX IMED IMPLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1431.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81121", "description": "IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tacrolimus, parenteral, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7525", "description": "Tacrolimus, parenteral, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RFC1 REPEAT XPNSJ VRNT ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0378U", "description": "RFC1 REPEAT XPNSJ VRNT ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discography, lumbar, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72295", "description": "Discography, lumbar, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Riboflavin (Vitamin B-2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84252", "description": "Riboflavin (Vitamin B-2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, oxacillin sodium, up to 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2700", "description": "Injection, oxacillin sodium, up to 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; encephalitis, California (La Crosse)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86651", "description": "Antibody; encephalitis, California (La Crosse)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "1160F", "description": "RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO GSAP CLL FR DNA/DNA&RNA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81462", "description": "SO GSAP CLL FR DNA/DNA&RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1793.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 294.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9187", "description": "BPCI HOME VISIT PT ASSESSMENT PRFRM QUAL HC PROF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiolipin (phospholipid) antibody, each Ig class", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86147", "description": "Cardiolipin (phospholipid) antibody, each Ig class", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THRC FASCIAL PLN BLK BI NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64468", "description": "THRC FASCIAL PLN BLK BI NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11600", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 257.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0277", "description": "Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61543", "description": "Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4003.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LINVOSELTAMAB-GCPT 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9601", "description": "INJ LINVOSELTAMAB-GCPT 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TREOSULFAN 50 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0614", "description": "INJ TREOSULFAN 50 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, abdomen; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74150", "description": "Computed tomography, abdomen; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, edaravone, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1301", "description": "Injection, edaravone, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC PILONIDAL CYST SIMPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11770", "description": "EXC PILONIDAL CYST SIMPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65112", "description": "Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2265.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90671", "description": "Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 381.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst ext pt 60 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2009", "description": "Post-D/C H Vst ext pt 60 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 312.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90951", "description": "ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2010.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangement)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81166", "description": "BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie, detection of large gene rearrangement)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47015", "description": "Laparotomy, with aspiration and/or injection of hepatic parasitic (eg, amoebic or echinococcal) cyst(s) or abscess(es)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2017.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27540", "description": "Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, heated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0562", "description": "Humidifier, heated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24126", "description": "Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1108.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90955", "description": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 917.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99254", "description": "INITIAL INPATIENT CONSULT NEW/ESTAB PT 80 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GSTR RSTCV PX SHRT ROUX-EN-Y", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43846", "description": "GSTR RSTCV PX SHRT ROUX-EN-Y", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2832.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19330", "description": "Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1058.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ DON-DRV CLL-FR DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0118U", "description": "TRNSPLJ DON-DRV CLL-FR DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4129.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87491", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration of epididymis, with or without biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54865", "description": "Exploration of epididymis, with or without biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 588.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, seat upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0981", "description": "Wheelchair accessory, seat upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY ACETAMINOPHEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80143", "description": "DRUG ASSAY ACETAMINOPHEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathormone (parathyroid hormone)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83970", "description": "Parathormone (parathyroid hormone)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 22120.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thiamine (Vitamin B-1)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84425", "description": "Thiamine (Vitamin B-1)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with endoscopic ultrasound examination", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45341", "description": "Sigmoidoscopy, flexible; with endoscopic ultrasound examination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, hard, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8001", "description": "Helmet, protective, hard, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32856", "description": "BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 408.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROPH RTA DTCHMNT CRTX DTHRM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67141", "description": "PROPH RTA DTCHMNT CRTX DTHRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61605", "description": "Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3398.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59525", "description": "Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 797.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2388", "description": "Power wheelchair accessory, foam drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2235.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90956", "description": "ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 626.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38746", "description": "Thoracic lymphadenectomy by thoracotomy, mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29899", "description": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1639.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy, partial, with anastomosis; abdominal and transsacral approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45114", "description": "Proctectomy, partial, with anastomosis; abdominal and transsacral approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3092.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FTL ANEUPLOIDY TRSMY DNA SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0327U", "description": "FTL ANEUPLOIDY TRSMY DNA SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DECOMPRESSION FASCT FOREARM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24495", "description": "DECOMPRESSION FASCT FOREARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1623.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61567", "description": "Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4695.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33877", "description": "Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6021.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gadoxetate disodium, 1 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9581", "description": "Injection, gadoxetate disodium, 1 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36558", "description": "Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APOL1 RISK VARIANTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0355U", "description": "APOL1 RISK VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34834", "description": "Open brachial artery exposure for delivery of endovascular prosthesis, unilateral (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology simulation-aided field setting; complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77290", "description": "Therapeutic radiology simulation-aided field setting; complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0514", "description": "PRLNG PREV SRVC OFC/OTH O/P DIR CTC;EA ADD 30 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21016", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1606.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO INSJ TRNSPRSTC 1 IMPLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52441", "description": "CYSTO INSJ TRNSPRSTC 1 IMPLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 319.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4698.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75746", "description": "Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0870", "description": "Traction frame, attached to footboard, extremity traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30520", "description": "Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1084.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0499", "description": "Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0850", "description": "Traction stand, freestanding, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tendon lengthening, upper arm or elbow, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24305", "description": "Tendon lengthening, upper arm or elbow, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 965.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6189.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatectomy, resection of liver; partial lobectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47120", "description": "Hepatectomy, resection of liver; partial lobectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3945.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28540", "description": "Closed treatment of tarsal bone dislocation, other than talotarsal; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0665", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.57, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasogastric tubing with stylet", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4081", "description": "Nasogastric tubing with stylet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77371", "description": "Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2071.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, crotalidae immune f(ab')2 (equine), 120 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0841", "description": "Injection, crotalidae immune f(ab')2 (equine), 120 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6969.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ARGATROBAN NOT TX EQV J0884 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0899", "description": "INJ ARGATROBAN NOT TX EQV J0884 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33367", "description": "REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1015.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31640", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with excision of tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0101U", "description": "HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2615.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPREHENSIVE METABOLIC PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80053", "description": "COMPREHENSIVE METABOLIC PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC FPVT ANGIO SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37264", "description": "REVSC EVASC FPVT ANGIO SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENVRN IVNTJ MED MGMT PSYC PT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90882", "description": "ENVRN IVNTJ MED MGMT PSYC PT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2182.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Topotecan, oral, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8705", "description": "Topotecan, oral, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33310", "description": "Cardiotomy, exploratory (includes removal of foreign body, atrial or ventricular thrombus); without bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2050.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, temporomandibular joint, with prosthetic joint replacement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21243", "description": "Arthroplasty, temporomandibular joint, with prosthetic joint replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2557.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, emicizumab-kxwh, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7170", "description": "Injection, emicizumab-kxwh, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, transvaginal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76830", "description": "Ultrasound, transvaginal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ICAR CATHETER ABLATION ARRHYTHMIA ADD ON", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93655", "description": "ICAR CATHETER ABLATION ARRHYTHMIA ADD ON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 474.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pembrolizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9271", "description": "Injection, pembrolizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50432", "description": "PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31253", "description": "NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 737.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ondansetron HCl, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2405", "description": "Injection, ondansetron HCl, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD COMPR GMT ARM PAD NT USE CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6523", "description": "GD COMPR GMT ARM PAD NT USE CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1093.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COM WRAP W STRAP ARM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6588", "description": "GRAD COM WRAP W STRAP ARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 365.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 84.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, vein only; 5 coronary venous grafts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33514", "description": "Coronary artery bypass, vein only; 5 coronary venous grafts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4457.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal scalp blood sampling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59030", "description": "Fetal scalp blood sampling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3499.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92310", "description": "Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, muscle; deep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20205", "description": "Biopsy, muscle; deep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34716", "description": "OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 617.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, eptinezumab-jjmr, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3032", "description": "Injection, eptinezumab-jjmr, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; anterior and/or lateral compartments only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27600", "description": "Decompression fasciotomy, leg; anterior and/or lateral compartments only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 674.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1470.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25337", "description": "RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1479.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 301.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27784", "description": "Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1203.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32661", "description": "Thoracoscopy, surgical; with excision of pericardial cyst, tumor, or mass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1403.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 529.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; hepatitis, delta agent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86692", "description": "Antibody; hepatitis, delta agent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or transplantation of long tendon of biceps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23440", "description": "Resection or transplantation of long tendon of biceps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1258.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2626", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61700", "description": "Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6088.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12017", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 281.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, idarubicin HCl, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9211", "description": "Injection, idarubicin HCl, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Receptor assay; progesterone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84234", "description": "Receptor assay; progesterone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74328", "description": "Endoscopic catheterization of the biliary ductal system, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93925", "description": "Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2360", "description": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 146.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2782", "description": "Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADICAL RESCJ TUMOR CLAVICLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23200", "description": "RADICAL RESCJ TUMOR CLAVICLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2454.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31725", "description": "Catheter aspiration (separate procedure); tracheobronchial with fiberscope, bedside", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfusion, intrauterine, fetal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36460", "description": "Transfusion, intrauterine, fetal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation through wrist;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25920", "description": "Disarticulation through wrist;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1251.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corneal relaxing incision for correction of surgically induced astigmatism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65772", "description": "Corneal relaxing incision for correction of surgically induced astigmatism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 608.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87046", "description": "Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41000", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24076", "description": "Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 936.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94005", "description": "HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KERAMATRIX OR KERASORB PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4165", "description": "KERAMATRIX OR KERASORB PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0408", "description": "Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stomach tube - Levine type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4083", "description": "Stomach tube - Levine type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0222T", "description": "PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9561", "description": "Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DELIVERY/BIRTHING ROOM RESUSCITATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99465", "description": "DELIVERY/BIRTHING ROOM RESUSCITATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33274", "description": "TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 759.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valvectomy, tricuspid valve, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33460", "description": "Valvectomy, tricuspid valve, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4079.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2212", "description": "Spherocylinder, bifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, omalizumab, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2357", "description": "Injection, omalizumab, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of cornea", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65410", "description": "Biopsy of cornea", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration, repair, and presacral drainage for rectal injury;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45562", "description": "Exploration, repair, and presacral drainage for rectal injury;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2050.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor IX (PTC or Christmas)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85250", "description": "Clotting; factor IX (PTC or Christmas)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LU GNOTYP BCAM EXON 3", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0196U", "description": "LU GNOTYP BCAM EXON 3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 784.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52285", "description": "CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26080", "description": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AXATILIMAB CSFR 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9038", "description": "INJ AXATILIMAB CSFR 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78709", "description": "KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 471.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58700", "description": "Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1307.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25628", "description": "Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1194.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, fracture, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0276", "description": "Bed pan, fracture, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOS EACH ORGANISM AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87449", "description": "NOS EACH ORGANISM AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25490", "description": "Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1218.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of small omphalocele, with primary closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49600", "description": "Repair of small omphalocele, with primary closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1285.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82009", "description": "Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, freestanding, includes weights", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0930", "description": "Fracture frame, freestanding, includes weights", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64569", "description": "Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to existing pulse generator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1388.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MATRIX HD ALLOGRFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4345", "description": "MATRIX HD ALLOGRFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58146", "description": "Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1801.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Whirlpool, nonportable (built-in type)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1310", "description": "Whirlpool, nonportable (built-in type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3442.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26352", "description": "Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with free graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1436.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; cholecystectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47562", "description": "Laparoscopy, surgical; cholecystectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1152.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 292.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Claviculectomy; partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23120", "description": "Claviculectomy; partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1011.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 604.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheal puncture, percutaneous with transtracheal aspiration and/or injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31612", "description": "Tracheal puncture, percutaneous with transtracheal aspiration and/or injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0024U", "description": "Glycosylated acute phase proteins (GlycA), nuclear magnetic resonance spectroscopy, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70496", "description": "Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96001", "description": "Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; cornea, nonperforating, with or without removal foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65275", "description": "Repair of laceration; cornea, nonperforating, with or without removal foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 671.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64484", "description": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87285", "description": "Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2391", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of sutures under anesthesia (other than local), other surgeon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15851", "description": "Removal of sutures under anesthesia (other than local), other surgeon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG HI DNS FM S P/250SQ CM E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6600", "description": "GD CMP BDG HI DNS FM S P/250SQ CM E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ALZHEIMER CELL AGGREGJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0206U", "description": "NEURO ALZHEIMER CELL AGGREGJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3323.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Canthoplasty (reconstruction of canthus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67950", "description": "Canthoplasty (reconstruction of canthus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 689.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaporizer, room type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0605", "description": "Vaporizer, room type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2210.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPR MED PGA 24CHRM TE BX QC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0554U", "description": "REPR MED PGA 24CHRM TE BX QC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0446", "description": "Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 Antb Quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86413", "description": "SARS-COV-2 Antb Quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION & REPAIR EYELID > ONE-FOURTH LID MARGIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67961", "description": "EXCISION & REPAIR EYELID > ONE-FOURTH LID MARGIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93315", "description": "Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 311.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS GEN DNA ALYS PROBAND", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0212U", "description": "RARE DS GEN DNA ALYS PROBAND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8212.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; JC (John Cunningham) virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86711", "description": "Antibody; JC (John Cunningham) virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOMETASONE FUROATE SIN IMPL 10 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7402", "description": "MOMETASONE FUROATE SIN IMPL 10 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, testosterone enanthate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3121", "description": "Injection, testosterone enanthate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WNDFIX BIOWND WNDFIX + X + /X+ P SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4217", "description": "WNDFIX BIOWND WNDFIX + X + /X+ P SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX 1 TENDON SHEATH/LIGAMENT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20550", "description": "NJX 1 TENDON SHEATH/LIGAMENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of hip dislocation, traumatic; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27252", "description": "Closed treatment of hip dislocation, traumatic; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1293.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT ST CPLX 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37260", "description": "REVSC EVASC IVT ST CPLX 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1055.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3248.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuromuscular stimulator, electronic shock unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0745", "description": "Neuromuscular stimulator, electronic shock unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83009", "description": "Helicobacter pylori, blood test analysis for urease activity, non-radioactive isotope (eg, C-13)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR NON/MAL HUMERUS WO GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24430", "description": "RPR NON/MAL HUMERUS WO GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44130", "description": "Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2238.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58152", "description": "TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1936.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trapeze bars, also known as Patient Helper, attached to bed, with grab bar", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0910", "description": "Trapeze bars, also known as Patient Helper, attached to bed, with grab bar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33369", "description": "REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1627.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0602", "description": "Replacement battery for external infusion pump owned by patient, silver oxide, 3 volt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; serum, plasma or whole blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82040", "description": "Albumin; serum, plasma or whole blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2389", "description": "Power wheelchair accessory, foam caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, ventilator tray, fixed", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1029", "description": "Wheelchair accessory, ventilator tray, fixed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision; ischial bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27060", "description": "Excision; ischial bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 808.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87506", "description": "IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water, distilled, used with large volume nebulizer, 1000 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7018", "description": "Water, distilled, used with large volume nebulizer, 1000 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estriol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82677", "description": "Estriol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extra heavy-duty wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0007", "description": "Extra heavy-duty wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR-T ADMN AUTOLOGOUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38228", "description": "CAR-T ADMN AUTOLOGOUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vesiculotomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55600", "description": "Vesiculotomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 681.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81248", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 838.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Islet cell antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86341", "description": "Islet cell antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLOSKIN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4115", "description": "ALLOSKIN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DEN BIL/BIL BIO 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5162", "description": "INJ DEN BIL/BIL BIO 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86353", "description": "Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fosaprepitant, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1453", "description": "Injection, fosaprepitant, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0081", "description": "Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62360", "description": "Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 560.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collection of blood specimen from a completely implantable venous access device", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36591", "description": "Collection of blood specimen from a completely implantable venous access device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95783", "description": "POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1682.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 525.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19281", "description": "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0605", "description": "Replacement battery for external infusion pump owned by patient, lithium, 4.5 volt, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MANUAL PREP&INSJ INTRAMEDULLARY DRUG DLVR DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20702", "description": "MANUAL PREP&INSJ INTRAMEDULLARY DRUG DLVR DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corneal wedge resection for correction of surgically induced astigmatism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65775", "description": "Corneal wedge resection for correction of surgically induced astigmatism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 865.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60650", "description": "Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1996.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal delivery only (with or without episiotomy and/or forceps);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59409", "description": "Vaginal delivery only (with or without episiotomy and/or forceps);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1331.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CORONARY ENDARTERCOMY OPEN ANY METHOD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33572", "description": "CORONARY ENDARTERCOMY OPEN ANY METHOD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21501", "description": "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 587.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suprahyoid lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38700", "description": "Suprahyoid lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1252.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal (euploidy)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0252U", "description": "Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal (euploidy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectourethral fistula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45820", "description": "Closure of rectourethral fistula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2214.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44604", "description": "Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1770.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40527", "description": "Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 974.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81258", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60545", "description": "ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2130.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY NEW MOD 45", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98010", "description": "SYNCH AUDIO-ONLY NEW MOD 45", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heterophile antibodies; titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86309", "description": "Heterophile antibodies; titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROLNG OFF/OP E/M EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99417", "description": "PROLNG OFF/OP E/M EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 800.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 148.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9516", "description": "Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of atrioventricular valve (mitral or tricuspid) by suture or patch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33600", "description": "Closure of atrioventricular valve (mitral or tricuspid) by suture or patch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2963.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36578", "description": "Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral insertion site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ IRE LIVER 1+ TUM PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47384", "description": "ABLTJ IRE LIVER 1+ TUM PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Compatibility test each unit; immediate spin technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86920", "description": "Compatibility test each unit; immediate spin technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87542", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, mandible; partial, less than 4 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70100", "description": "Radiologic examination, mandible; partial, less than 4 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57421", "description": "Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2231.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS MGEN 23S RRNA PT MUT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0484U", "description": "NFCT DS MGEN 23S RRNA PT MUT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemical peel, facial; dermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15789", "description": "Chemical peel, facial; dermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 624.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COM WRAP W STRAPS BK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6583", "description": "GRAD COM WRAP W STRAPS BK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power adapter for pneumatic ventricular assist device, replacement only, vehicle type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0504", "description": "Power adapter for pneumatic ventricular assist device, replacement only, vehicle type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1237.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; iliac", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35351", "description": "Thromboendarterectomy, including patch graft, if performed; iliac", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2142.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82542", "description": "COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78496", "description": "CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33964", "description": "ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 821.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; lingual nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64740", "description": "Transection or avulsion of; lingual nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 759.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35132", "description": "DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2722.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid stimulating immune globulins (TSI)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84445", "description": "Thyroid stimulating immune globulins (TSI)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92978", "description": "ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2231", "description": "Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.4, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90966", "description": "End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 530.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including ultrasound guidance; first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10005", "description": "Fine needle aspiration biopsy, including ultrasound guidance; first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4253", "description": "Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26750", "description": "Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 373.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31661", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6035.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2394", "description": "Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93622", "description": "COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3514.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COGENEX AMNIOTIC MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4229", "description": "COGENEX AMNIOTIC MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MCHNL SCLP COOL AFTER CHEMO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97009", "description": "MCHNL SCLP COOL AFTER CHEMO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81503", "description": "ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT ANGIO SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37255", "description": "REVSC EVASC IVT ANGIO SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implant from finger or hand", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26320", "description": "Removal of implant from finger or hand", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXT ECG>7D<15D REV&INTERPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93248", "description": "EXT ECG>7D<15D REV&INTERPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0266", "description": "Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 240.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TGSAP SO NEO CFDNA 521 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0585U", "description": "TGSAP SO NEO CFDNA 521 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MONOCYTE DSTRBJ WDTH WHL BLD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0427U", "description": "MONOCYTE DSTRBJ WDTH WHL BLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15760", "description": "Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1074.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7324", "description": "Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86664", "description": "Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, pregnant uterus, real time with image documentation, transvaginal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76817", "description": "Ultrasound, pregnant uterus, real time with image documentation, transvaginal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 485.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, pelvis; 1 or 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72170", "description": "Radiologic examination, pelvis; 1 or 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, leg, through tibia and fibula; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27886", "description": "Amputation, leg, through tibia and fibula; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1091.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, surgical; internal fixation for fracture or instability", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29847", "description": "Arthroscopy, wrist, surgical; internal fixation for fracture or instability", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 927.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, includes canes of all materials, adjustable or fixed, with tip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0100", "description": "Cane, includes canes of all materials, adjustable or fixed, with tip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.66, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80414", "description": "Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shock absorber for power wheelchair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1016", "description": "Shock absorber for power wheelchair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61598", "description": "Transpetrosal approach to posterior cranial fossa, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5359.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99184", "description": "INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC URTHL DNA MTHYLTD RT PCR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0549U", "description": "ONC URTHL DNA MTHYLTD RT PCR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0050U", "description": "Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4374.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27228", "description": "OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3031.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CM SRVC BH COND AL 20 MIN Q CAL MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0323", "description": "CM SRVC BH COND AL 20 MIN Q CAL MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 618.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 695.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, granisetron, extended-release, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1627", "description": "Injection, granisetron, extended-release, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32854", "description": "Lung transplant, double (bilateral sequential or en bloc); with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8203.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90378", "description": "Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1733.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66180", "description": "Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1678.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9596", "description": "GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1855.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 137.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of congenital pseudarthrosis, tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27727", "description": "Repair of congenital pseudarthrosis, tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1720.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33256", "description": "Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3318.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61582", "description": "CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5727.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carboxyhemoglobin; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82375", "description": "Carboxyhemoglobin; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MRVETUXIMB SORAVTANSN-GYNX 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9063", "description": "INJ MRVETUXIMB SORAVTANSN-GYNX 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC FPVT ST CPLX 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37269", "description": "REVSC EVASC FPVT ST CPLX 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1229.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VALPROATE SOD 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3379", "description": "INJ VALPROATE SOD 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76642", "description": "Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tibial fracture, proximal (plateau); without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27530", "description": "Closed treatment of tibial fracture, proximal (plateau); without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 538.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35306", "description": "Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 738.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87250", "description": "Virus isolation; inoculation of embryonated eggs, or small animal, includes observation and dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trachelectomy (cervicectomy), amputation of cervix (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57530", "description": "Trachelectomy (cervicectomy), amputation of cervix (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 605.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1626.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRST CA AI ASSMT 12 FEAT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0220U", "description": "ONC BRST CA AI ASSMT 12 FEAT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CAST HAND LWR FOREARM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29085", "description": "APPL CAST HAND LWR FOREARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWC GP 2 STD PORT SEAT/BACK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0820", "description": "PWC GP 2 STD PORT SEAT/BACK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of tarsal bone dislocation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28555", "description": "Open treatment of tarsal bone dislocation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1082.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholinesterase inhibitor challenge test for myasthenia gravis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95857", "description": "Cholinesterase inhibitor challenge test for myasthenia gravis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy/laryngectomy tube, noncuffed, polyvinylchloride (PVC), silicone or equal, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7520", "description": "Tracheostomy/laryngectomy tube, noncuffed, polyvinylchloride (PVC), silicone or equal, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubing used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7037", "description": "Tubing used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0270", "description": "MED NUT TX; REASSESS FLW 2 REF YR W/PT EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63662", "description": "Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1577.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89325", "description": "Sperm antibodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20560", "description": "NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0116", "description": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bile acids; cholylglycine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82240", "description": "Bile acids; cholylglycine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of double outlet right ventricle with intraventricular tunnel repair;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33611", "description": "Repair of double outlet right ventricle with intraventricular tunnel repair;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3314.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADICAL RESCJ TUMOR SCAPULA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23210", "description": "RADICAL RESCJ TUMOR SCAPULA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2856.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Coxiella burnetii (Q fever)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86638", "description": "Antibody; Coxiella burnetii (Q fever)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with metatarsal bar, per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5505", "description": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with metatarsal bar, per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Release, intrinsic muscles of hand, each muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26593", "description": "Release, intrinsic muscles of hand, each muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1134.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33214", "description": "UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 769.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2230.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14041", "description": "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62165", "description": "Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2577.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Malate dehydrogenase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83775", "description": "Malate dehydrogenase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, abdominal or retroperitoneal mass, percutaneous needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49180", "description": "Biopsy, abdominal or retroperitoneal mass, percutaneous needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44394", "description": "Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 348.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antistreptolysin 0; titer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86060", "description": "Antistreptolysin 0; titer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Francisella tularensis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86668", "description": "Antibody; Francisella tularensis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2614", "description": "Positioning wheelchair back cushion, posterior, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 804.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34421", "description": "Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1162.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance imaging, breast, without contrast material; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77047", "description": "Magnetic resonance imaging, breast, without contrast material; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21244", "description": "Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1582.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High frequency chest wall oscillation system hose, replacement for use with patient-owned equipment, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7026", "description": "High frequency chest wall oscillation system hose, replacement for use with patient-owned equipment, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64490", "description": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64625", "description": "RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, intralesional; up to and including 7 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11900", "description": "Injection, intralesional; up to and including 7 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58661", "description": "Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1047.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, mobile or stationary, with detachable arms", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0165", "description": "Commode chair, mobile or stationary, with detachable arms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22102", "description": "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1243.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of femoral fracture, proximal end, neck; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27230", "description": "Closed treatment of femoral fracture, proximal end, neck; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 848.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GAMMAGARD LIQUID/ERC INJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1569", "description": "GAMMAGARD LIQUID/ERC INJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paraffin, per pound", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4265", "description": "Paraffin, per pound", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair macrodactylia, each digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26590", "description": "Repair macrodactylia, each digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2405.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucosidase, beta", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82963", "description": "Glucosidase, beta", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5506", "description": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with off-set heel(s), per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0806", "description": "Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1967.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45397", "description": "LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3446.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD LAT XTRCVTRY TQ THRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22532", "description": "ARTHRD LAT XTRCVTRY TQ THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3223.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9004", "description": "Parenteral nutrition infusion pump, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5601.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, renal, unilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75831", "description": "Venography, renal, unilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cannulation, thoracic duct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38794", "description": "Cannulation, thoracic duct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 473.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33249", "description": "Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1446.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96146", "description": "Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35002", "description": "DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1898.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External urethral clamp or compression device (not to be used for catheter clamp), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4356", "description": "External urethral clamp or compression device (not to be used for catheter clamp), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71270", "description": "Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of greater trochanteric fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27248", "description": "Open treatment of greater trochanteric fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1231.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pterygomaxillary fossa surgery, any approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31040", "description": "Pterygomaxillary fossa surgery, any approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1275.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46744", "description": "Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6047.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with faceplate attached, rubber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4376", "description": "Ostomy pouch, drainable, with faceplate attached, rubber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2392", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.74, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM GEN HYPRFIBRNLYSIS 8 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0273U", "description": "HEM GEN HYPRFIBRNLYSIS 8 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLDR 10 PRB RECR BLDR CA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0366U", "description": "ONC BLDR 10 PRB RECR BLDR CA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASY THIOPURIN S-MTHYLTRNSFRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84433", "description": "ASY THIOPURIN S-MTHYLTRNSFRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MNPJ CHEST WALL SBSQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94668", "description": "MNPJ CHEST WALL SBSQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15937", "description": "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1638.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, pneumonectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32440", "description": "Removal of lung, pneumonectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2714.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Compatibility test each unit; antiglobulin technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86922", "description": "Compatibility test each unit; antiglobulin technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0459", "description": "Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANDROLOGY INFERTILITY ASSMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0255U", "description": "ANDROLOGY INFERTILITY ASSMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2050", "description": "Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubouterine implantation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58752", "description": "Tubouterine implantation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1419.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25607", "description": "Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1248.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97124", "description": "Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST DFRM<6 VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22800", "description": "ARTHRD PST DFRM<6 VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2415.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIATION TX DELIVERY LVL 2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77407", "description": "RADIATION TX DELIVERY LVL 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LINEZOLID HOSPIRA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2021", "description": "INJ LINEZOLID HOSPIRA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96161", "description": "CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26480", "description": "Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26341", "description": "Manipulation, palmar fascial cord (ie, Dupuytren's cord), post enzyme injection (eg, collagenase), single cord", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CV DS QUAN ADVSRM/PLSM LPRTN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0377U", "description": "CV DS QUAN ADVSRM/PLSM LPRTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47543", "description": "ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment devices, design and construction; simple (simple block, simple bolus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77332", "description": "Treatment devices, design and construction; simple (simple block, simple bolus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3081.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88120", "description": "Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 870.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0043U", "description": "Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1475.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic,", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64480", "description": "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic,", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31051", "description": "Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1123.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous catheterization for selective organ blood sampling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36500", "description": "Venous catheterization for selective organ blood sampling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20933", "description": "HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1072.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6985.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen dressing wound filler, sterile, per 6 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6024", "description": "Collagen dressing wound filler, sterile, per 6 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67430", "description": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2109.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87541", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 14413.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 10 MINS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9486", "description": "REMOTE IN-HOME VISIT E/M ESTABLISHED PT 10 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, external eye; corneal, without slit lamp", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65220", "description": "Removal of foreign body, external eye; corneal, without slit lamp", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2197.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RABIES IG HT&SOL HUMAN IM/SC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90377", "description": "RABIES IG HT&SOL HUMAN IM/SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLADDER MRNA 219 GEN ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0016M", "description": "ONC BLADDER MRNA 219 GEN ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5234.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation, hip joint, requiring general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27275", "description": "Manipulation, hip joint, requiring general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 319.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30903", "description": "Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BLDR MTHYL PENK LTE-QMSP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0452U", "description": "ONC BLDR MTHYL PENK LTE-QMSP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 325.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brain imaging, positron emission tomography (PET); metabolic evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78608", "description": "Brain imaging, positron emission tomography (PET); metabolic evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH CKD NUC MRS MEAS GFR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0259U", "description": "NEPH CKD NUC MRS MEAS GFR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, knee; 1 or 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73560", "description": "Radiologic examination, knee; 1 or 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43101", "description": "Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1763.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Toe loop/holder, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0952", "description": "Toe loop/holder, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calculus; X-ray diffraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82370", "description": "Calculus; X-ray diffraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81249", "description": "G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49904", "description": "Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2328.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 143.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEG-FPGK STIMUFEND BS0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5127", "description": "INJ PEG-FPGK STIMUFEND BS0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 223.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7639", "description": "Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for ankle arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27648", "description": "Injection procedure for ankle arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0806", "description": "Power operated vehicle, group 2 standard, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2205.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECTRO CONNECT BTW 2 SYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2311", "description": "ELECTRO CONNECT BTW 2 SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 410.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26686", "description": "Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1063.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, knee; with synovial biopsy only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27330", "description": "Arthrotomy, knee; with synovial biopsy only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 740.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation salivary duct, intraoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42665", "description": "Ligation salivary duct, intraoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 348.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN PRQ RMV LIG FLV ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62331", "description": "DCMPRN PRQ RMV LIG FLV ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WEDGE EXCISION SKN NAIL FOLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11765", "description": "WEDGE EXCISION SKN NAIL FOLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61575", "description": "Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4583.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38207", "description": "Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, external eye; conjunctival superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65205", "description": "Removal of foreign body, external eye; conjunctival superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, irinotecan liposome, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9205", "description": "Injection, irinotecan liposome, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision of labial frenum (frenotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40806", "description": "Incision of labial frenum (frenotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2998.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; distal ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25442", "description": "Arthroplasty with prosthetic replacement; distal ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1321.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy; ulnar artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64822", "description": "Sympathectomy; ulnar artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1185.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting and insertion of pessary or other intravaginal support device", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57160", "description": "Fitting and insertion of pessary or other intravaginal support device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15920", "description": "Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1142.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17262", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21356", "description": "Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81314", "description": "PDGFRA (platelet-derived growth factor receptor, alpha polypeptide) (eg, gastrointestinal stromal tumor [GIST]), gene analysis, targeted sequence analysis (eg, exons 12, 18)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44605", "description": "Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2229.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ PEMETREXED TEVA 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9314", "description": "INJ PEMETREXED TEVA 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, nelarabine, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9261", "description": "Injection, nelarabine, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; analyze 20-25 cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88264", "description": "Chromosome analysis; analyze 20-25 cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 216.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I CP HCI BAXTR NO TX EQV MXPM 500MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0701", "description": "I CP HCI BAXTR NO TX EQV MXPM 500MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glutamyltransferase, gamma (GGT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82977", "description": "Glutamyltransferase, gamma (GGT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19110", "description": "Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 645.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, pelvis or hip joint area; infected bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26991", "description": "Incision and drainage, pelvis or hip joint area; infected bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 880.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Actinotherapy (ultraviolet light)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96900", "description": "Actinotherapy (ultraviolet light)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST FINGER EXTENSION DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1826", "description": "ADJUST FINGER EXTENSION DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99409", "description": "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lacrimal sac (dacryocystectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68520", "description": "Excision of lacrimal sac (dacryocystectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1118.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB PSYC 14GEN&CYP2D6", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0476U", "description": "RX METAB PSYC 14GEN&CYP2D6", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40810", "description": "Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of entire lumbosubarachnoid shunt system without replacement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63746", "description": "Removal of entire lumbosubarachnoid shunt system without replacement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1203.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinectomy; partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30150", "description": "Rhinectomy; partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1268.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, fixed full-length arms, swing-away detachable footrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1200", "description": "Amputee wheelchair, fixed full-length arms, swing-away detachable footrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Axicabtagene ciloleucel, up to 200 million autologous anti-CD19 CAR positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2041", "description": "Axicabtagene ciloleucel, up to 200 million autologous anti-CD19 CAR positive T cells, including leukapheresis and dose preparation procedures, per therapeutic dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 752616.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV hanger, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0105", "description": "IV hanger, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80424", "description": "Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines, fractionated (82384 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Activated Protein C (APC) resistance assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85307", "description": "Activated Protein C (APC) resistance assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76776", "description": "Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal autotransplantation, reimplantation of kidney", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50380", "description": "Renal autotransplantation, reimplantation of kidney", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3608.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57111", "description": "Vaginectomy, complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2939.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, nesiritide, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2325", "description": "Injection, nesiritide, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75889", "description": "Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proton treatment delivery; simple, without compensation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77520", "description": "Proton treatment delivery; simple, without compensation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1491.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45402", "description": "Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2489.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; oral surgical splint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21085", "description": "Impression and custom preparation; oral surgical splint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 747.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT ELISA BF7 AG SERUM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0558U", "description": "ONC CLRCT ELISA BF7 AG SERUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81442", "description": "NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3215.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antepartum care only; 7 or more visits", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59426", "description": "Antepartum care only; 7 or more visits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1329.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99283", "description": "EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69745", "description": "Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1916.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33845", "description": "Excision of coarctation of aorta, with or without associated patent ductus arteriosus; with graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2326.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43288", "description": "ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6322.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, milrinone lactate, 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2260", "description": "Injection, milrinone lactate, 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33720", "description": "Repair sinus of Valsalva aneurysm, with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2670.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngeal function studies (ie, aerodynamic testing and acoustic testing)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92520", "description": "Laryngeal function studies (ie, aerodynamic testing and acoustic testing)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Emergency power supply cable for use with electric ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0492", "description": "Emergency power supply cable for use with electric ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57023", "description": "Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 503.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78831", "description": "RP LOCLZJ TUM SPECT 2 AREA 1D IMG/1 AREA IMG>2+D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 969.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81264", "description": "IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B-cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MONTHLY SUPPLIES USE DVC CODE E0733", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4541", "description": "MONTHLY SUPPLIES USE DVC CODE E0733", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD CHD DNA ALYS 10 SNP 6DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0440U", "description": "CRD CHD DNA ALYS 10 SNP 6DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1281.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61026", "description": "VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2222", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); open, superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38500", "description": "Biopsy or excision of lymph node(s); open, superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 444.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21395", "description": "Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1598.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, elotuzumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9176", "description": "Injection, elotuzumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaporizer, room type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0605", "description": "Vaporizer, room type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23655", "description": "Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 752.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with vein graft; intrathoracic, with bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35241", "description": "Repair blood vessel with vein graft; intrathoracic, with bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2487.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, radial head;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24365", "description": "Arthroplasty, radial head;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1086.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER RX MNTR 90+ PN&MTL HLTH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0518U", "description": "THER RX MNTR 90+ PN&MTL HLTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ocular implant secondary; after evisceration, in scleral shell", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65130", "description": "Insertion of ocular implant secondary; after evisceration, in scleral shell", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1328.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40801", "description": "Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87798", "description": "Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of vascular pedicle into carpal bone (eg, Hori procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25430", "description": "Insertion of vascular pedicle into carpal bone (eg, Hori procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1248.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alpha-1-antitrypsin; phenotype", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82104", "description": "Alpha-1-antitrypsin; phenotype", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15276", "description": "SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 98.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99495", "description": "TRANSITIONAL CARE MANAGE SRVC 14 DAY DISCHARGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, local; malignant tumor of stomach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43611", "description": "Excision, local; malignant tumor of stomach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2090.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PEMETREXED 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9324", "description": "INJECTION PEMETREXED 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Annual depression screening, 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0444", "description": "Annual depression screening, 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52007", "description": "CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oligoclonal immune (oligoclonal bands)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83916", "description": "Oligoclonal immune (oligoclonal bands)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpotomy; with exploration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57000", "description": "Colpotomy; with exploration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AR FULL SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0230U", "description": "AR FULL SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, crutch and cane holder, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2207", "description": "Wheelchair accessory, crutch and cane holder, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35363", "description": "Thromboendarterectomy, including patch graft, if performed; combined aortoiliofemoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2704.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of salivary gland; incisional", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42405", "description": "Biopsy of salivary gland; incisional", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 355.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0248", "description": "DEMO HOME INR MON PT W/MECH HT VALVE CAF/VTE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Serum screening for cytotoxic percent reactive antibody (PRA); quick method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86808", "description": "Serum screening for cytotoxic percent reactive antibody (PRA); quick method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 133.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of; brachial plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64861", "description": "Suture of; brachial plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2856.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1364.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63655", "description": "Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1557.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 536.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastroduodenostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43810", "description": "Gastroduodenostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1749.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology treatment planning; complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77263", "description": "Therapeutic radiology treatment planning; complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12015", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty; digital, 1 or both, same digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64702", "description": "Neuroplasty; digital, 1 or both, same digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 869.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92100", "description": "SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0668", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 602.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lutetium lu 177, dotatate, therapeutic, 1 millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9513", "description": "Lutetium lu 177, dotatate, therapeutic, 1 millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34706", "description": "EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3753.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4313", "description": "Insertion tray without drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ST ATHRC SF 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37292", "description": "RVSC EVSC TPVT ST ATHRC SF 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1218.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3259.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM TGSA 33GENS SNVS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0562U", "description": "ONC SOL TUM TGSA 33GENS SNVS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0807", "description": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4065.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; iontophoresis, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97033", "description": "Application of a modality to 1 or more areas; iontophoresis, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB PRTRM BRTH IBP4 SHBG MEAS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0247U", "description": "OB PRTRM BRTH IBP4 SHBG MEAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal (epiphysiodesis), open; distal fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27732", "description": "Arrest, epiphyseal (epiphysiodesis), open; distal fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 792.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88312", "description": "Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FUT2 GNOTYP FUT2 EXON 2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0186U", "description": "FUT2 GNOTYP FUT2 EXON 2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1163.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, for use on faceplate, plastic, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4381", "description": "Ostomy pouch, urinary, for use on faceplate, plastic, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOCORETM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4227", "description": "AMNIOCORETM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 913.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2530", "description": "Contact lens, scleral, gas impermeable, per lens (for contact lens modification, see 92325)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 409.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0011", "description": "Standard-weight frame motorized/power wheelchair with programmable control parameters for speed adjustment, tremor dampening, acceleration control and braking", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1095.05, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61601", "description": "Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, including dural repair, with or without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4491.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36569", "description": "Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIPID PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80061", "description": "LIPID PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DI GNOTYP SLC4A1 EXON 19", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0183U", "description": "DI GNOTYP SLC4A1 EXON 19", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44210", "description": "Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2904.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 565.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44406", "description": "Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 350.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, portable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9004", "description": "Parenteral nutrition infusion pump, portable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "MS" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50572", "description": "RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 808.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35091", "description": "DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2937.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2218", "description": "Manual wheelchair accessory, foam propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, docetaxel, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9171", "description": "Injection, docetaxel, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ocular implant secondary; after enucleation, muscles attached to implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65140", "description": "Insertion of ocular implant secondary; after enucleation, muscles attached to implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1437.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage external auditory canal, abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69020", "description": "Drainage external auditory canal, abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal function studies (eg, rhinomanometry)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92512", "description": "Nasal function studies (eg, rhinomanometry)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroneocystostomy; anastomosis of single ureter to bladder", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50780", "description": "Ureteroneocystostomy; anastomosis of single ureter to bladder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1775.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31298", "description": "NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 378.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23616", "description": "OPEN PROX HUMERAL FRACTURE PROSTHETIC RPLCMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2012.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 147.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG SUP PAD FM P/YD ANY W EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6605", "description": "GD CMP BDG SUP PAD FM P/YD ANY W EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESANO AC, PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4274", "description": "ESANO AC, PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15004", "description": "PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 400.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystoenterostomy; Roux-en-Y", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47740", "description": "Cholecystoenterostomy; Roux-en-Y", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2264.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lens material; intracapsular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66920", "description": "Removal of lens material; intracapsular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1097.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of hematoma, seroma or fluid collection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10140", "description": "Incision and drainage of hematoma, seroma or fluid collection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Maxillectomy; with orbital exenteration (en bloc)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31230", "description": "Maxillectomy; with orbital exenteration (en bloc)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3069.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33368", "description": "REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1231.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy, posterior capsular release, knee", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27435", "description": "Capsulotomy, posterior capsular release, knee", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1363.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst new pt 60 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2004", "description": "Post-D/C H Vst new pt 60 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55831", "description": "Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1353.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spoke protectors, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0065", "description": "Spoke protectors, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spectrophotometry, analyte not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84311", "description": "Spectrophotometry, analyte not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transurethral drainage of prostatic abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52700", "description": "Transurethral drainage of prostatic abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sex chromatin identification; Barr bodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88130", "description": "Sex chromatin identification; Barr bodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12035", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 399.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTICOAGULANT MGMT FOR PT TAKING WARFARIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93793", "description": "ANTICOAGULANT MGMT FOR PT TAKING WARFARIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81209", "description": "BLM (Bloom syndrome, RecQ helicase-like) (eg, Bloom syndrome) gene analysis, 2281del6ins7 variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0400", "description": "Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31624", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 207.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0693", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2973.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81435", "description": "HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82784", "description": "Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89261", "description": "Sperm isolation; complex prep (eg, Percoll gradient, albumin gradient) for insemination or diagnosis with semen analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy; with biopsy(ies) of pleura", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32609", "description": "Thoracoscopy; with biopsy(ies) of pleura", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 429.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of intra-aortic balloon assist device through the femoral artery, open approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33970", "description": "Insertion of intra-aortic balloon assist device through the femoral artery, open approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GENOM RPD SEQ ALYS EA CMPRTR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0425U", "description": "GENOM RPD SEQ ALYS EA CMPRTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6141.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound filler, gel, per fl oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6248", "description": "Hydrogel dressing, wound filler, gel, per fl oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27618", "description": "Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 533.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29850", "description": "ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1065.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening Papanicolaou smear, cervical or vaginal, up to 3 smears, requiring interpretation by physician", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P3001", "description": "Screening Papanicolaou smear, cervical or vaginal, up to 3 smears, requiring interpretation by physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65114", "description": "Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2354.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extrapleural enucleation of empyema (empyemectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32540", "description": "Extrapleural enucleation of empyema (empyemectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2977.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of ventricular assist device, implantable intracorporeal, single ventricle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33979", "description": "Insertion of ventricular assist device, implantable intracorporeal, single ventricle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3226.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; F (fetal), qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83033", "description": "Hemoglobin; F (fetal), qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of posterior malleolus fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27768", "description": "Closed treatment of posterior malleolus fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81241", "description": "F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, adrenal, bilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75733", "description": "Angiography, adrenal, bilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27614", "description": "Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 694.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93644", "description": "EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15260", "description": "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1270.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 560.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Histrelin implant (Vantas), 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9225", "description": "Histrelin implant (Vantas), 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7310.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of stricture of rectum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45150", "description": "Division of stricture of rectum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 760.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26210", "description": "Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 765.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77333", "description": "Treatment devices, design and construction; intermediate (multiple blocks, stents, bite blocks, special bolus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37213", "description": "THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65273", "description": "Repair of laceration; conjunctiva, by mobilization and rearrangement, with hospitalization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO NEW LOW 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98001", "description": "SYNCH AUDIO-VIDEO NEW LOW 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, H style, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0039", "description": "Leg strap, H style, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HIV-1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86701", "description": "Antibody; HIV-1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47360", "description": "Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3193.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11621", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Impression and custom preparation; surgical obturator prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21076", "description": "Impression and custom preparation; surgical obturator prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1094.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, mobile or stationary, with fixed arms", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0163", "description": "Commode chair, mobile or stationary, with fixed arms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Organic acids; total, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83918", "description": "Organic acids; total, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heinz bodies; direct", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85441", "description": "Heinz bodies; direct", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39561", "description": "Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2215.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93613", "description": "Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fascia lata graft; by stripper", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20920", "description": "Fascia lata graft; by stripper", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFIX PLUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4304", "description": "GRAFIX PLUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63012", "description": "LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2135.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7034", "description": "Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel or elbow protector, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0191", "description": "Heel or elbow protector, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36475", "description": "Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57210", "description": "Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 632.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6236", "description": "Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40820", "description": "Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 270.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64451", "description": "INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple cystometrogram (CMG) (eg, spinal manometer)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51725", "description": "Simple cystometrogram (CMG) (eg, spinal manometer)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90967", "description": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0427", "description": "Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 936.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII Fc fusion protein (recombinant), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7205", "description": "Injection, factor VIII Fc fusion protein (recombinant), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2322", "description": "PWR WC ACSS HND CNTRL MX MECH SWTCH NO PRPRTNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0112", "description": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6789.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81244", "description": "FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB/PCX DNA 25 GEN ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0348U", "description": "RX METAB/PCX DNA 25 GEN ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, thigh, through femur, any level; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27594", "description": "Amputation, thigh, through femur, any level; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 863.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery, recession or resection procedure; 1 horizontal muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67311", "description": "Strabismus surgery, recession or resection procedure; 1 horizontal muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43130", "description": "Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1271.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2375", "description": "Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ISCHIORCT /PERIRCT ABSC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46040", "description": "I D ISCHIORCT /PERIRCT ABSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 782.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Everolimus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80169", "description": "Everolimus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81346", "description": "TYMS (thymidylate synthetase) (eg, 5-fluorouracil/5-FU drug metabolism), gene analysis, common variant(s) (eg, tandem repeat variant)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE DX W/WO SYN BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29870", "description": "ARTHRS KNEE DX W/WO SYN BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 715.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93565", "description": "NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27070", "description": "Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1477.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2217", "description": "Manual wheelchair accessory, foam filled caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Campylobacter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86625", "description": "Antibody; Campylobacter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22110", "description": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1879.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of defect with autograft; radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25426", "description": "Repair of defect with autograft; radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1845.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 190.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Russell viper venom time (includes venom); diluted", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85613", "description": "Russell viper venom time (includes venom); diluted", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, chest; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71046", "description": "Radiologic examination, chest; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81336", "description": "SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulodesis, metacarpophalangeal joint; 2 digits", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26517", "description": "Capsulodesis, metacarpophalangeal joint; 2 digits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1515.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65260", "description": "Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1454.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjustable angle footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0040", "description": "Adjustable angle footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32667", "description": "THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50557", "description": "RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEV INTERR REPRGRMG IO RTA ELTRD RA W/REPRT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0473T", "description": "DEV INTERR REPRGRMG IO RTA ELTRD RA W/REPRT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethromeatoplasty, with mucosal advancement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53450", "description": "Urethromeatoplasty, with mucosal advancement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 663.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACETYLCHOLN RCPTR BLCKG ANTB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86042", "description": "ACETYLCHOLN RCPTR BLCKG ANTB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22210", "description": "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3172.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACESSO TL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4300", "description": "ACESSO TL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision of conjunctiva, drainage of cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68020", "description": "Incision of conjunctiva, drainage of cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biofeedback training by any modality", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90901", "description": "Biofeedback training by any modality", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, smears, any other source; screening and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88160", "description": "Cytopathology, smears, any other source; screening and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interface for cough stimulating device, includes all components, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7020", "description": "Interface for cough stimulating device, includes all components, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyanide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82600", "description": "Cyanide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOSPHAMD AUROMEDICS 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9071", "description": "INJ CYCLOPHOSPHAMD AUROMEDICS 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1096", "description": "Dexamethasone, lacrimal ophthalmic insert, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpal scaphoid (navicular) fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25624", "description": "Closed treatment of carpal scaphoid (navicular) fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 800.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC ST RPR THRC/AA ACRS BR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33894", "description": "EVASC ST RPR THRC/AA ACRS BR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1543.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86831", "description": "ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6209", "description": "Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26113", "description": "Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 913.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75743", "description": "Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONFORM BAND S W >=5\"/YD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6447", "description": "CONFORM BAND S W >=5\"/YD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcranial Doppler study of the intracranial arteries; limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93888", "description": "Transcranial Doppler study of the intracranial arteries; limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58571", "description": "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1485.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to mobile arm support, supinator", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2633", "description": "Wheelchair accessory, addition to mobile arm support, supinator", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.09, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BEVACIZUMAB-MALY BIOSIMIL 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5126", "description": "INJ BEVACIZUMAB-MALY BIOSIMIL 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (diffuse large B-cell lymphoma [DLBCL])", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0017M", "description": "Oncology (diffuse large B-cell lymphoma [DLBCL])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3765.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86975", "description": "Pretreatment of serum for use in RBC antibody identification; incubation with drugs, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transplantation of testis(es) to thigh (because of scrotal destruction)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54680", "description": "Transplantation of testis(es) to thigh (because of scrotal destruction)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1242.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, omadacycline, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0121", "description": "Injection, omadacycline, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1806.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97129", "description": "THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of greater humeral tuberosity fracture; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23625", "description": "Closed treatment of greater humeral tuberosity fracture; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of clavicular fracture, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23515", "description": "Open treatment of clavicular fracture, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1216.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trypsin; feces, quantitative, 24-hour collection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84490", "description": "Trypsin; feces, quantitative, 24-hour collection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFORT I 3/>GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21147", "description": "RCNSTJ MDFC LEFORT I 3/>GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2684.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76816", "description": "US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1971.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phototherapy (bilirubin) light with photometer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0202", "description": "Phototherapy (bilirubin) light with photometer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2500", "description": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75887", "description": "Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Central motor evoked potential study (transcranial motor stimulation); lower limbs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95929", "description": "Central motor evoked potential study (transcranial motor stimulation); lower limbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33866", "description": "AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1526.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21555", "description": "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 534.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90957", "description": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1357.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy, maxillary (antrotomy); intranasal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31020", "description": "Sinusotomy, maxillary (antrotomy); intranasal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 576.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 372.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 73.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adenoidectomy, primary; younger than age 12", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42830", "description": "Adenoidectomy, primary; younger than age 12", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 345.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with cyst(s) removal, includes pleural procedure when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32140", "description": "Thoracotomy; with cyst(s) removal, includes pleural procedure when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27831", "description": "Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 723.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23073", "description": "Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1188.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Accessory, arm trough, with or without hand support, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2209", "description": "Accessory, arm trough, with or without hand support, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Typhoid vaccine, live, oral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90690", "description": "Typhoid vaccine, live, oral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69421", "description": "Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD FLX TRNSORL RMVL BALO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43291", "description": "EGD FLX TRNSORL RMVL BALO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Snip incision of lacrimal punctum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68440", "description": "Snip incision of lacrimal punctum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48160", "description": "Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or pancreatic islet cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8098.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36245", "description": "Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pharyngolaryngectomy, with radical neck dissection; with reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31395", "description": "Pharyngolaryngectomy, with radical neck dissection; with reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4496.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5107", "description": "Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair recurrent inguinal hernia, any age; incarcerated or strangulated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49521", "description": "Repair recurrent inguinal hernia, any age; incarcerated or strangulated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1249.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33255", "description": "Operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure); without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2814.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75898", "description": "Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD BRACHIAL PLEXUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64415", "description": "INJECTION AA&/STRD BRACHIAL PLEXUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32491", "description": "RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2563.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78014", "description": "THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 336.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26489", "description": "Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1685.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Slings", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4565", "description": "Slings", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement cover for wheelchair seat cushion or back cushion, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2619", "description": "Replacement cover for wheelchair seat cushion or back cushion, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHONE/INTER FOR DX/TREAT >5M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0550", "description": "PHONE/INTER FOR DX/TREAT >5M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81182", "description": "ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2323", "description": "Power wheelchair accessory, specialty joystick handle for hand control interface, prefabricated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40761", "description": "Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1716.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19084", "description": "BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medial canthopexy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21280", "description": "Medial canthopexy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 915.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; proctopexy (for prolapse)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45400", "description": "Laparoscopy, surgical; proctopexy (for prolapse)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1856.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56632", "description": "Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2407.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, major artery (eg, post-traumatic, rupture); chest", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37616", "description": "Ligation, major artery (eg, post-traumatic, rupture); chest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1946.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED WHL GEN MTHYLTN ALYS 50+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0318U", "description": "PED WHL GEN MTHYLTN ALYS 50+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2655.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11446", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 497.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20693", "description": "Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 764.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91200", "description": "Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0694", "description": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 946.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98968", "description": "NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHRNC CARE MGMT PHYS EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99437", "description": "CHRNC CARE MGMT PHYS EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LNCH SYN GEN DNA SEQ ALY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0238U", "description": "ONC LNCH SYN GEN DNA SEQ ALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 877.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrin after secretin stimulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82938", "description": "Gastrin after secretin stimulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INS SK-MNT CRNL NSTM PG/RCVR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61889", "description": "INS SK-MNT CRNL NSTM PG/RCVR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3319.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG FEM-ANT TIB PST TIB/PRNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35666", "description": "BPG FEM-ANT TIB PST TIB/PRNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2135.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proton treatment delivery; intermediate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77523", "description": "Proton treatment delivery; intermediate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1792.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 68.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11642", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 269.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, mastoids; complete, minimum of 3 views per side", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70130", "description": "Radiologic examination, mastoids; complete, minimum of 3 views per side", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81313", "description": "PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MNTR INTRSTITIAL FLUID PRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20950", "description": "MNTR INTRSTITIAL FLUID PRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33926", "description": "Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4077.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, total; with formation of intestinal pouch, any type", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43622", "description": "Gastrectomy, total; with formation of intestinal pouch, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3903.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERAGENESIS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2008", "description": "THERAGENESIS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36566", "description": "Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 597.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hand; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73120", "description": "Radiologic examination, hand; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision, drainage of lacrimal gland", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68400", "description": "Incision, drainage of lacrimal gland", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25375", "description": "Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1586.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIO-CONNEKT WOUND MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4161", "description": "BIO-CONNEKT WOUND MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasoethmoid fracture; without external fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21338", "description": "Open treatment of nasoethmoid fracture; without external fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1109.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3488.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36405", "description": "Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoplasty (corneal transplant); endothelial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65756", "description": "Keratoplasty (corneal transplant); endothelial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1709.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33971", "description": "Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1216.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, buprenorphine extended-release (sublocade), greater than 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9992", "description": "Injection, buprenorphine extended-release (sublocade), greater than 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2825.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INS TRURL ABLT TRNSDC THR US", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51721", "description": "INS TRURL ABLT TRNSDC THR US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3373.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99002", "description": "HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99393", "description": "PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43214", "description": "Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TMA/TMAO PRFL LCMS/MS UR ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0256U", "description": "TMA/TMAO PRFL LCMS/MS UR ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39541", "description": "Repair, diaphragmatic hernia (other than neonatal), traumatic; chronic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1620.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26720", "description": "Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41005", "description": "Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49327", "description": "LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinalysis; bacteriuria screen, except by culture or dipstick", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81007", "description": "Urinalysis; bacteriuria screen, except by culture or dipstick", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroidectomy, total or complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60240", "description": "Thyroidectomy, total or complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1489.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26740", "description": "Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 403.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body, intranasal; by lateral rhinotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30320", "description": "Removal foreign body, intranasal; by lateral rhinotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 801.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinalysis; 2 or 3 glass test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81020", "description": "Urinalysis; 2 or 3 glass test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90732", "description": "PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66982", "description": "XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1088.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31572", "description": "Laryngoscopy, flexible; with ablation or destruction of lesion(s) with laser, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of multiple ventricular septal defects;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33675", "description": "Closure of multiple ventricular septal defects;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3349.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of hyperplastic alveolar mucosa, each quadrant (specify)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41828", "description": "Excision of hyperplastic alveolar mucosa, each quadrant (specify)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 357.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78835", "description": "RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinalysis; microscopic only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81015", "description": "Urinalysis; microscopic only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97112", "description": "THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3240.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31630", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with tracheal/bronchial dilation or closed reduction of fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0113", "description": "Crutch, underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58570", "description": "Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1298.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSURETHRAL INC PROSTATE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52450", "description": "TRANSURETHRAL INC PROSTATE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of dural/cerebrospinal fluid leak, not requiring laminectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63707", "description": "Repair of dural/cerebrospinal fluid leak, not requiring laminectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1722.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOS EACH ORGANISM AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87449", "description": "NOS EACH ORGANISM AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT AC SC JT EXP/RMVL FB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23044", "description": "ARTHRT AC SC JT EXP/RMVL FB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 977.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99411", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57267", "description": "INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 387.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinalysis; bacteriuria screen, except by culture or dipstick", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81007", "description": "Urinalysis; bacteriuria screen, except by culture or dipstick", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis; additional cells counted, each study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88285", "description": "Chromosome analysis; additional cells counted, each study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPLETE FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4271", "description": "COMPLETE FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Canister, nondisposable, used with suction pump, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7001", "description": "Canister, nondisposable, used with suction pump, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth, by upholstery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1297", "description": "Special wheelchair seat depth, by upholstery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0483", "description": "DRUG TST DEFINITV DR ID METH P DAY 22/MORE DR CL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36218", "description": "SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasography, vesiculography, or epididymography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74440", "description": "Vasography, vesiculography, or epididymography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO INH ATAXIA DNA 12 COM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0216U", "description": "NEURO INH ATAXIA DNA 12 COM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2305.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrectomy, total, including cystostomy; male", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53215", "description": "Urethrectomy, total, including cystostomy; male", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1453.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MTB RIFAMPIN RST AMP PRB TQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87564", "description": "MTB RIFAMPIN RST AMP PRB TQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 115.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Androstenedione", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82157", "description": "Androstenedione", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of acromioclavicular dislocation; with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23545", "description": "Closed treatment of acromioclavicular dislocation; with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46275", "description": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 758.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, without imaging guidance; first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10021", "description": "Fine needle aspiration biopsy, without imaging guidance; first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 513.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90961", "description": "ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 531.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23605", "description": "Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 791.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, drive wheel motor, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2368", "description": "Power wheelchair component, drive wheel motor, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 480.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33262", "description": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 596.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL/BIVLV SHO/HIP SPICA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29710", "description": "RMVL/BIVLV SHO/HIP SPICA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0136U", "description": "ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 611.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of artificial vagina; without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57291", "description": "Construction of artificial vagina; without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ PD LVR&BWL CD154+CLL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81560", "description": "TRNSPLJ PD LVR&BWL CD154+CLL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 961.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27238", "description": "Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 821.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dipyridamole, per 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1245", "description": "Injection, dipyridamole, per 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optical coherence tomography of breast, surgical cavity; real-time intraoperative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0353T", "description": "Optical coherence tomography of breast, surgical cavity; real-time intraoperative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catecholamines; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82383", "description": "Catecholamines; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2392", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerclage of cervix, during pregnancy; vaginal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59320", "description": "Cerclage of cervix, during pregnancy; vaginal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47535", "description": "CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 292.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75989", "description": "RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Russell viper venom time (includes venom); undiluted", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85612", "description": "Russell viper venom time (includes venom); undiluted", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23140", "description": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 953.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PATH CLIN CONSLTJ PROLNG SVC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80506", "description": "PATH CLIN CONSLTJ PROLNG SVC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47537", "description": "REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93306", "description": "ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; 1 extremity with or without related paraspinal areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95860", "description": "Needle electromyography; 1 extremity with or without related paraspinal areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shunt; ascending aorta to pulmonary artery (Waterston type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33755", "description": "Shunt; ascending aorta to pulmonary artery (Waterston type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2298.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 116.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46607", "description": "Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77067", "description": "Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CYLINDER CAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29365", "description": "APPL CYLINDER CAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Borrelia burgdorferi (Lyme disease)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86618", "description": "Antibody; Borrelia burgdorferi (Lyme disease)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26358", "description": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1674.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Meatotomy, cutting of meatus (separate procedure); infant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53025", "description": "Meatotomy, cutting of meatus (separate procedure); infant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2371.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pericardiotomy for removal of clot or foreign body (primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33020", "description": "Pericardiotomy for removal of clot or foreign body (primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1424.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0265", "description": "Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve conduction studies; 13 or more studies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95913", "description": "Nerve conduction studies; 13 or more studies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UNXPL CNST HRTBL DO GN XPRSN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0266U", "description": "UNXPL CNST HRTBL DO GN XPRSN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4800.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Methylprednisolone, oral, per 4 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7509", "description": "Methylprednisolone, oral, per 4 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88368", "description": "Morphometric analysis, in situ hybridization (quantitative or semi-quantitative), manual, per specimen; initial single probe stain procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD FEMORAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64447", "description": "INJECTION AA&/STRD FEMORAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of major peripheral nerve, arm or leg, except sciatic; without transposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64857", "description": "Suture of major peripheral nerve, arm or leg, except sciatic; without transposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1697.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arm pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0019", "description": "Arm pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34051", "description": "Embolectomy or thrombectomy, with or without catheter; innominate, subclavian artery, by thoracic incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1750.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 41.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sodium; other source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84302", "description": "Sodium; other source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2365", "description": "Power wheelchair accessory, U-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81302", "description": "MECP2 (methyl CpG binding protein 2) (eg, Rett syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 791.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEUM CMPR CNTRL WO CALIBR GRD P", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0681", "description": "NONPNEUM CMPR CNTRL WO CALIBR GRD P", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anomalous coronary artery from pulmonary artery origin; by ligation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33502", "description": "Repair of anomalous coronary artery from pulmonary artery origin; by ligation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2231.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0848", "description": "Power wheelchair, group 3 standard, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1460.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23071", "description": "Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of sublingual salivary cyst (ranula)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42408", "description": "Excision of sublingual salivary cyst (ranula)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72084", "description": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Borrelia (relapsing fever)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86619", "description": "Antibody; Borrelia (relapsing fever)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44378", "description": "ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraventricular pacing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93612", "description": "Intraventricular pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Slab off prism, glass or plastic, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2710", "description": "Slab off prism, glass or plastic, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3231.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26412", "description": "Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1241.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0856", "description": "Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1567.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2202", "description": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 544.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2621", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53000", "description": "Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagostomy, fistulization of esophagus, external; cervical approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43352", "description": "Esophagostomy, fistulization of esophagus, external; cervical approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1881.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52005", "description": "Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aerosol compressor, adjustable pressure, light duty for intermittent use", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0572", "description": "Aerosol compressor, adjustable pressure, light duty for intermittent use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blepharotomy, drainage of abscess, eyelid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67700", "description": "Blepharotomy, drainage of abscess, eyelid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58573", "description": "Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1981.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 12876.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1160", "description": "Wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Estrone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82679", "description": "Estrone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV & INF VIR A&B AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87428", "description": "SARSCOV & INF VIR A&B AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, pelvis or hip joint area; deep abscess or hematoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26990", "description": "Incision and drainage, pelvis or hip joint area; deep abscess or hematoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1185.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23455", "description": "Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1572.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2603", "description": "Skin protection wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of vaginal septum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57130", "description": "Excision of vaginal septum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, olanzapine, long-acting, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2358", "description": "Injection, olanzapine, long-acting, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterectomy, with bladder cuff (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50650", "description": "Ureterectomy, with bladder cuff (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1629.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 165.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor tendon; palm AND finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26442", "description": "Tenolysis, flexor tendon; palm AND finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1715.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54112", "description": "Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1471.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0412", "description": "OPN TX ILIAC SPINE TUBEROSITY AVUL/ILIAC WING FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sacrum and coccyx, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72220", "description": "Radiologic examination, sacrum and coccyx, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87527", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG CRTD SINS BAT IP W/", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93146", "description": "INTERROG CRTD SINS BAT IP W/", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0802", "description": "Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81595", "description": "CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4860.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; less than one-half tongue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41120", "description": "Glossectomy; less than one-half tongue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1729.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAPSULECTOMY/CAPSULOTOMY HIP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27036", "description": "CAPSULECTOMY/CAPSULOTOMY HIP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1693.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of graft, aorta or great vessels; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33335", "description": "Insertion of graft, aorta or great vessels; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3213.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for retrograde urethrocystography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51610", "description": "Injection procedure for retrograde urethrocystography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99416", "description": "Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chorionic villus sampling, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59015", "description": "Chorionic villus sampling, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, phytonadione (vitamin K), per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3430", "description": "Injection, phytonadione (vitamin K), per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXTRACTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10040", "description": "EXTRACTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Atomic absorption spectroscopy, each analyte", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82190", "description": "Atomic absorption spectroscopy, each analyte", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31574", "description": "Laryngoscopy, flexible; with injection(s) for augmentation (eg, percutaneous, transoral), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33266", "description": "Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (eg, maze procedure), without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3170.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHY/QHP OP PULM RHB W/O MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94625", "description": "PHY/QHP OP PULM RHB W/O MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61520", "description": "Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6600.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86294", "description": "Immunoassay for tumor antigen, qualitative or semiquantitative (eg, bladder tumor antigen)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venipuncture, cutdown; age 1 or over", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36425", "description": "Venipuncture, cutdown; age 1 or over", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77423", "description": "High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI BARET ESPH DNA MTHYLN ALY", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0398U", "description": "GI BARET ESPH DNA MTHYLN ALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2632.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of fecal impaction or foreign body (separate procedure) under anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45915", "description": "Removal of fecal impaction or foreign body (separate procedure) under anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88184", "description": "Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26650", "description": "Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 841.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 407.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TENOTOMY ABDUCTOR /XTNSR HIP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27006", "description": "TENOTOMY ABDUCTOR /XTNSR HIP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of mediastinal tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39220", "description": "Resection of mediastinal tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1933.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CIPAGLUCOSIDASE 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1203", "description": "INJ CIPAGLUCOSIDASE 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sympathectomy, lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64818", "description": "Sympathectomy, lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1292.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRGT GEN SEQ DNA RNA 1-23 GN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0022U", "description": "TRGT GEN SEQ DNA RNA 1-23 GN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2925.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERAMEND PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4342", "description": "THERAMEND PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRODESIS ELBW JOINT LOCAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24800", "description": "ARTHRODESIS ELBW JOINT LOCAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1402.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENATI AC MEMBRANE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4436", "description": "RENATI AC MEMBRANE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS ID OPT GENOME MAPG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0454U", "description": "RARE DS ID OPT GENOME MAPG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroneocystostomy; with vesico-psoas hitch or bladder flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50785", "description": "Ureteroneocystostomy; with vesico-psoas hitch or bladder flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1898.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90833", "description": "Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 322.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, phalanges of foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28108", "description": "Excision or curettage of bone cyst or benign tumor, phalanges of foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYRIAD MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2032", "description": "MYRIAD MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PATH CLIN CONSLTJ HIGH 41-60", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80505", "description": "PATH CLIN CONSLTJ HIGH 41-60", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroenterostomy, direct anastomosis of ureter to intestine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50800", "description": "Ureteroenterostomy, direct anastomosis of ureter to intestine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1453.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anterior chamber of eye (separate procedure); medication", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66030", "description": "Injection, anterior chamber of eye (separate procedure); medication", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Angiography, pelvic, selective or supraselective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75736", "description": "Angiography, pelvic, selective or supraselective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26553", "description": "Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5312.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32097", "description": "Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1400.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; methemoglobin, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83050", "description": "Hemoglobin; methemoglobin, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FOUNDATION DRS+ DUO PR SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2041", "description": "FOUNDATION DRS+ DUO PR SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AZTREONAM 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0457", "description": "INJECTION AZTREONAM 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMCHOPLAST EXCL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4372", "description": "AMCHOPLAST EXCL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydroxyproline; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83505", "description": "Hydroxyproline; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION METRONIDAZOLE 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1836", "description": "INJECTION METRONIDAZOLE 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63040", "description": "LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2378.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59612", "description": "Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1540.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess, cyst, hematoma from dentoalveolar structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41800", "description": "Drainage of abscess, cyst, hematoma from dentoalveolar structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty and/or transposition; cranial nerve (specify)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64716", "description": "Neuroplasty and/or transposition; cranial nerve (specify)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 833.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, abdomen and pelvis; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74176", "description": "Computed tomography, abdomen and pelvis; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 9350.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, denosumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0897", "description": "Injection, denosumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bevacizumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9035", "description": "Injection, bevacizumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35682", "description": "Bypass graft; autogenous composite, 2 segments of veins from 2 locations (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 578.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Receptor assay; non-endocrine (specify receptor)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84238", "description": "Receptor assay; non-endocrine (specify receptor)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PURAPLY XT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4197", "description": "PURAPLY XT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0498", "description": "CHEMOTX ADM IV INF TECH; INI INF OFFICE/CLIN SET", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, nonimpregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6220", "description": "Gauze, nonimpregnated, sterile, pad size more than 16 sq in but less than or equal to 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0433", "description": "PORTABL LIQUID OXYGEN SYS RENTAL; HOME LIQUEFIER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of internal anal sphincter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46505", "description": "Chemodenervation of internal anal sphincter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21047", "description": "Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1884.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fatty acids, nonesterified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82725", "description": "Fatty acids, nonesterified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stationary oxygen contents, liquid, 1 month's supply = 1 unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0442", "description": "Stationary oxygen contents, liquid, 1 month's supply = 1 unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous implantation of neurostimulator electrode array; cranial nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64553", "description": "Percutaneous implantation of neurostimulator electrode array; cranial nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 851.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL MLTLAY CMPRN SYS UP ARM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29584", "description": "APPL MLTLAY CMPRN SYS UP ARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0044", "description": "Footrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53446", "description": "Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1025.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX CALCANEAL FX W/O MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28400", "description": "CLTX CALCANEAL FX W/O MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 415.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; adenovirus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87260", "description": "Infectious agent antigen detection by immunofluorescent technique; adenovirus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, with primary suture; with ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15951", "description": "Excision, trochanteric pressure ulcer, with primary suture; with ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1468.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27339", "description": "Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1290.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of urinary-cutaneous anastomosis (any type urostomy);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50727", "description": "Revision of urinary-cutaneous anastomosis (any type urostomy);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 831.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CELERA D L/CELERA D MEMB PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4259", "description": "CELERA D L/CELERA D MEMB PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87265", "description": "Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, tip, cane, crutch, walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4637", "description": "Replacement, tip, cane, crutch, walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43261", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 512.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST < 3 CM RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49591", "description": "RPR AA HRN 1ST < 3 CM RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 576.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION, DOSTARLIMAB-GXLY 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9272", "description": "INJECTION, DOSTARLIMAB-GXLY 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87662", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31525", "description": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Deoxycortisol, 11-", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82634", "description": "Deoxycortisol, 11-", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46285", "description": "Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 761.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93616", "description": "Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CABOTEGRAVIR 1 MG FDA-APPD PRSC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0739", "description": "INJ CABOTEGRAVIR 1 MG FDA-APPD PRSC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of radial shaft fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25500", "description": "Closed treatment of radial shaft fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 487.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Zinc", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84630", "description": "Zinc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC GENOM ALYS PNL 15 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0411U", "description": "PSYC GENOM ALYS PNL 15 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67228", "description": "Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Labyrinthectomy; transcanal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69905", "description": "Labyrinthectomy; transcanal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1445.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX RADIAL HEAD/NECK FX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24665", "description": "OPTX RADIAL HEAD/NECK FX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28496", "description": "Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 502.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of temporomandibular dislocation; initial or subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21480", "description": "Closed treatment of temporomandibular dislocation; initial or subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heel loop/holder, any type, with or without ankle strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0951", "description": "Heel loop/holder, any type, with or without ankle strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT DSC ANT 1VRT SGM LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22224", "description": "OSTEOT DSC ANT 1VRT SGM LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2691.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21193", "description": "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1951.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis; triple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28715", "description": "Arthrodesis; triple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1573.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, below knee, 18-30 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6530", "description": "Gradient compression stocking, below knee, 18-30 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spring-powered device for lancet, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4258", "description": "Spring-powered device for lancet, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6453", "description": "Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmodynamometry", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92260", "description": "Ophthalmodynamometry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82271", "description": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86904", "description": "Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 923.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77080", "description": "Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42509", "description": "Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4357", "description": "Bedside drainage bag, day or night, with or without antireflux device, with or without tube, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96922", "description": "Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Eye pad, sterile, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6410", "description": "Eye pad, sterile, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUBQ NJX FIL MATRL>10.0 CC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11954", "description": "SUBQ NJX FIL MATRL>10.0 CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4388", "description": "Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer iliopsoas; to greater trochanter of femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27110", "description": "Transfer iliopsoas; to greater trochanter of femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1615.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT DFRM 2-3 VRT SGM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22808", "description": "ARTHRD ANT DFRM 2-3 VRT SGM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3245.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75891", "description": "Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ileostomy or jejunostomy, non-tube", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44310", "description": "Ileostomy or jejunostomy, non-tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1747.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Semen analysis; presence and/or motility of sperm excluding Huhner", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0027", "description": "Semen analysis; presence and/or motility of sperm excluding Huhner", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP STCK THIGH L 30-40MMHG CST E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6557", "description": "GD CMP STCK THIGH L 30-40MMHG CST E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 465.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheobronchoscopy through established tracheostomy incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31615", "description": "Tracheobronchoscopy through established tracheostomy incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22511", "description": "Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 635.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76125", "description": "Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PCV21 VACCINE IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90684", "description": "PCV21 VACCINE IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 487.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT CFDNA 8/7 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0496U", "description": "ONC CLRCT CFDNA 8/7 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 728.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 47.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catheterization for collection of specimen, single patient, all places of service", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9612", "description": "Catheterization for collection of specimen, single patient, all places of service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, phenobarbital sodium, up to 120 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2560", "description": "Injection, phenobarbital sodium, up to 120 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3420", "description": "Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Trifocal add over 3.25d", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2320", "description": "Trifocal add over 3.25d", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93050", "description": "ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47553", "description": "Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81203", "description": "APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lancets, per box of 100", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4259", "description": "Lancets, per box of 100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dacarbazine, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9130", "description": "Dacarbazine, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD FLX TRNSORL DPLMNT BALO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43290", "description": "EGD FLX TRNSORL DPLMNT BALO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 273.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fresh frozen plasma, thawing, each unit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86927", "description": "Fresh frozen plasma, thawing, each unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement pad for infrared heating pad system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4639", "description": "Replacement pad for infrared heating pad system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2035", "description": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oversize lens, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2780", "description": "Oversize lens, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, elbow; with synovial biopsy only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24100", "description": "Arthrotomy, elbow; with synovial biopsy only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 738.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ USTEKINUMAB-AEKN BS 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9998", "description": "INJ USTEKINUMAB-AEKN BS 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44158", "description": "Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3826.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65782", "description": "Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1682.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15572", "description": "Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 20061.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal fibular fracture (lateral malleolus); without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27786", "description": "Closed treatment of distal fibular fracture (lateral malleolus); without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 523.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of patent ductus arteriosus; by division, younger than 18 years", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33822", "description": "Repair of patent ductus arteriosus; by division, younger than 18 years", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1772.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 91.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93287", "description": "PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 218.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ammonia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82140", "description": "Ammonia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86356", "description": "Mononuclear cell antigen, quantitative (eg, flow cytometry), not otherwise specified, each antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of malignant tumor of maxilla or zygoma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21034", "description": "Excision of malignant tumor of maxilla or zygoma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1739.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MyOwn skin, includes harvesting and preparation procedures, per square centimeter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4226", "description": "MyOwn skin, includes harvesting and preparation procedures, per square centimeter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0837", "description": "Power wheelchair, group 2 heavy-duty, single power option, sling/solid seat/back, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 864.51, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection of palate or extensive resection of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42120", "description": "Resection of palate or extensive resection of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1611.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0130", "description": "Walker, rigid (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TREMELIMUMAB-ACTL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9347", "description": "INJECTION TREMELIMUMAB-ACTL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27479", "description": "Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1525.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81217", "description": "BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17270", "description": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2223.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11462", "description": "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 436.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41140", "description": "Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3397.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside rails, full-length", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0310", "description": "Bedside rails, full-length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50715", "description": "Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2013.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40819", "description": "Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 330.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), and brief intervention 15 to 30 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0396", "description": "Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g., AUDIT, DAST), and brief intervention 15 to 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ERZOFRI 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2428", "description": "INJ ERZOFRI 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CYCLOPHOS FRINDOVYX 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9072", "description": "INJ CYCLOPHOS FRINDOVYX 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophageal recording of atrial electrogram with or without ventricular electrogram(s);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93615", "description": "Esophageal recording of atrial electrogram with or without ventricular electrogram(s);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81275", "description": "KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg, carcinoma) gene analysis; variants in exon 2 (eg, codons 12 and 13)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93289", "description": "INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT MV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0544T", "description": "TCAT MV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2521.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43121", "description": "Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4887.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46761", "description": "Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1473.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0138", "description": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for postoperative hemorrhage, thrombosis or infection; extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35860", "description": "Exploration for postoperative hemorrhage, thrombosis or infection; extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1413.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31529", "description": "Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 242.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87550", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oral interface used with positive airway pressure device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7044", "description": "Oral interface used with positive airway pressure device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of intrastromal corneal ring segments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65785", "description": "Implantation of intrastromal corneal ring segments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 669.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ustekinumab, for subcutaneous injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3357", "description": "Ustekinumab, for subcutaneous injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90865", "description": "Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium amobarbital (Amytal) interview)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50561", "description": "RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99213", "description": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for myelography and/or computed tomography, lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62284", "description": "Injection procedure for myelography and/or computed tomography, lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 8559.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Euglobulin lysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85360", "description": "Euglobulin lysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81266", "description": "COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 457.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of penis; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54100", "description": "Biopsy of penis; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43235", "description": "Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroid planar imaging (including subtraction, when performed);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78070", "description": "Parathyroid planar imaging (including subtraction, when performed);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 401.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intraoperative radiation treatment management", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77469", "description": "Intraoperative radiation treatment management", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 454.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal, under anesthesia, of external fixation system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20694", "description": "Removal, under anesthesia, of external fixation system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 585.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muscle transfer, any type, shoulder or upper arm; single", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23395", "description": "Muscle transfer, any type, shoulder or upper arm; single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2111.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, abdomen and pelvis; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74177", "description": "Computed tomography, abdomen and pelvis; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 386.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2542.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XWRAP DUAL PLUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4403", "description": "XWRAP DUAL PLUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81317", "description": "PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; full sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteral reflux study (radiopharmaceutical voiding cystogram)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78740", "description": "Ureteral reflux study (radiopharmaceutical voiding cystogram)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluciclovine f-18, diagnostic, 1 millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9588", "description": "Fluciclovine f-18, diagnostic, 1 millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 938.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65875", "description": "Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 949.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 543.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87631", "description": "IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoelectrophoresis; serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86320", "description": "Immunoelectrophoresis; serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29824", "description": "Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1143.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2643.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28022", "description": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1006", "description": "Wheelchair accessory, power seating system, combination tilt and recline, without shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1189.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33250", "description": "ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2526.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or fulguration of carcinoma of urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53220", "description": "Excision or fulguration of carcinoma of urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 727.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88164", "description": "Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2506", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4944.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89331", "description": "Sperm evaluation, for retrograde ejaculation, urine (sperm concentration, motility, and morphology, as indicated)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, arm through humerus; with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24931", "description": "Amputation, arm through humerus; with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1541.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ibalizumab-uiyk, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1746", "description": "Injection, ibalizumab-uiyk, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG CRTD-CLAT CRTD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35602", "description": "BPG CRTD-CLAT CRTD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2113.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60270", "description": "Thyroidectomy, including substernal thyroid; sternal split or transthoracic approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2206.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation tray with bulb or piston syringe, any purpose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4320", "description": "Irrigation tray with bulb or piston syringe, any purpose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operculectomy, excision pericoronal tissues", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41821", "description": "Operculectomy, excision pericoronal tissues", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59622", "description": "Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2356.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY ANTI-MULLERIAN HORM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82166", "description": "ASSAY ANTI-MULLERIAN HORM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tint, photochromatic, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2744", "description": "Tint, photochromatic, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM DEV SPLY MSCSKL 16-30 D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98977", "description": "RTM DEV SPLY MSCSKL 16-30 D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31611", "description": "Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice button, Blom-Singer prosthesis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 868.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ/RPLCMT BAT MOD SYS PG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64656", "description": "REVJ/RPLCMT BAT MOD SYS PG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of liver, needle; percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47000", "description": "Biopsy of liver, needle; percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 132.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 676.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, interferon, alfa-2b, recombinant, 1 million units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9214", "description": "Injection, interferon, alfa-2b, recombinant, 1 million units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INNOVAMATRIX FD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2039", "description": "INNOVAMATRIX FD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36592", "description": "Collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 416.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROLNG IP/OBS E/M EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99418", "description": "PROLNG IP/OBS E/M EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27499", "description": "Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82272", "description": "Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RISK ASCVD TST ONCE PR 12 MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0537", "description": "RISK ASCVD TST ONCE PR 12 MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, handgrip, cane, crutch, or walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4636", "description": "Replacement, handgrip, cane, crutch, or walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95922", "description": "TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated voice synthesizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2100", "description": "Blood glucose monitor with integrated voice synthesizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 962.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26951", "description": "Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1249.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2203", "description": "Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 535.85, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92538", "description": "Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 162.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Bartonella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86611", "description": "Antibody; Bartonella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46924", "description": "Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49427", "description": "Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; Unna boot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29580", "description": "Strapping; Unna boot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with biopsy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31535", "description": "Laryngoscopy, direct, operative, with biopsy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88104", "description": "Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61867", "description": "STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4188.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2329", "description": "PWR WC ACSS HEAD CNTRL CNTC SWTCH MECH NOPRPRTNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92522", "description": "Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 188.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0207T", "description": "Evacuation of meibomian glands, automated, using heat and intermittent pressure, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LU 177 VPIVOTID TETRAXETN THR 1 MCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9607", "description": "LU 177 VPIVOTID TETRAXETN THR 1 MCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NSL/SINUS NDSC RF ABLTJ PNN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31242", "description": "NSL/SINUS NDSC RF ABLTJ PNN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81415", "description": "Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96158", "description": "HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Catecholamines; total urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82382", "description": "Catecholamines; total urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body from pharynx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42809", "description": "Removal of foreign body from pharynx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 206.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1077.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, blinatumomab, 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9039", "description": "Injection, blinatumomab, 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RENOGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4321", "description": "RENOGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis, c.472G>A (rs4680) variant", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0032U", "description": "COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis, c.472G>A (rs4680) variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of Heyman capsules for clinical brachytherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58346", "description": "Insertion of Heyman capsules for clinical brachytherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 722.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0254U", "description": "Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAP SRG PRST8CT BI PL LMPHAD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55869", "description": "LAP SRG PRST8CT BI PL LMPHAD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2316.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; female, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0326", "description": "Urinal; female, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68326", "description": "Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 955.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2624", "description": "Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, back upholstery, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0982", "description": "Wheelchair accessory, back upholstery, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver imaging; with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78202", "description": "Liver imaging; with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0071", "description": "Front caster assembly, complete, with pneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOPLAST DOUBLE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4391", "description": "AMNIOPLAST DOUBLE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70540", "description": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 290.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68328", "description": "Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1034.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, femur; shortening (excluding 64876)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27465", "description": "Osteoplasty, femur; shortening (excluding 64876)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2325.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25310", "description": "Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1192.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93296", "description": "Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LNG AUG ALG ALY WHL SLD8", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0414U", "description": "ONC LNG AUG ALG ALY WHL SLD8", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21235", "description": "Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 890.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28110", "description": "Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56640", "description": "Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2590.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2308", "description": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37184", "description": "PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 670.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1821", "description": "Replacement soft interface material/cuffs for bi-directional static progressive stretch device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGRAFT XT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4269", "description": "SURGRAFT XT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluorescent noninfectious agent antibody; titer, each antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86256", "description": "Fluorescent noninfectious agent antibody; titer, each antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0448T", "description": "RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77078", "description": "Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 156.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50574", "description": "Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 858.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87590", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90937", "description": "Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47600", "description": "Cholecystectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1840.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT DSC ANT 1 VRT SGM CRV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22220", "description": "OSTEOT DSC ANT 1 VRT SGM CRV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2876.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, paclitaxel protein-bound particles, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9264", "description": "Injection, paclitaxel protein-bound particles, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32501", "description": "Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 403.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, talimogene laherparepvec, per 1 million plaque forming units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9325", "description": "Injection, talimogene laherparepvec, per 1 million plaque forming units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of perivesical or prevesical space abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51080", "description": "Drainage of perivesical or prevesical space abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, arm through humerus; with primary closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24900", "description": "Amputation, arm through humerus; with primary closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1292.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VSRCTV STD TCD ICR ART COMPL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93896", "description": "VSRCTV STD TCD ICR ART COMPL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cutaneous vesicostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51980", "description": "Cutaneous vesicostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1129.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2103", "description": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 451.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of lacrimal punctum, with or without irrigation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68801", "description": "Dilation of lacrimal punctum, with or without irrigation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 12968.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31300", "description": "Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1978.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69636", "description": "Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic membrane repair); with ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2278.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50555", "description": "Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 522.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMBND SLN SL+ SLX SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4428", "description": "DERMBND SLN SL+ SLX SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87801", "description": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22325", "description": "Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2682.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM VW FACTOR&CLGN IV BNDG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0280U", "description": "HEM VW FACTOR&CLGN IV BNDG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1297.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pentobarbital sodium, per 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2515", "description": "Injection, pentobarbital sodium, per 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99379", "description": "SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22818", "description": "Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3439.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4861.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0112", "description": "Crutches, underarm, wood, adjustable or fixed, pair, with pads, tips, and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47531", "description": "NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27075", "description": "Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3342.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOG-IGG1 ANTB CBA EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86362", "description": "MOG-IGG1 ANTB CBA EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; stillborn or newborn with brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88014", "description": "Necropsy (autopsy), gross examination only; stillborn or newborn with brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcium; after calcium infusion test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82331", "description": "Calcium; after calcium infusion test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21029", "description": "Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1012.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0855", "description": "Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2516.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, waist length, 18-30 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6539", "description": "Gradient compression stocking, waist length, 18-30 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17271", "description": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, plasma protein fraction (human), 5%, 50 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9043", "description": "Infusion, plasma protein fraction (human), 5%, 50 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, calf rest/pad, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0995", "description": "Wheelchair accessory, calf rest/pad, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20611", "description": "ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIUM RA-223 DICHLORIDE TX PER UCI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9606", "description": "RADIUM RA-223 DICHLORIDE TX PER UCI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYCOPHENOL MYHIBBIN 100 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7514", "description": "MYCOPHENOL MYHIBBIN 100 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selenium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84255", "description": "Selenium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78122", "description": "Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27132", "description": "Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2703.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, acetylcysteine, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0132", "description": "Injection, acetylcysteine, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Talectomy (astragalectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28130", "description": "Talectomy (astragalectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 285.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation, internal jugular vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37565", "description": "Ligation, internal jugular vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1171.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62162", "description": "Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3511.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with fulguration of oviducts (with or without transection)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58670", "description": "Laparoscopy, surgical; with fulguration of oviducts (with or without transection)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 591.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Appliance cleaner, incontinence and ostomy appliances, per 16 oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5131", "description": "Appliance cleaner, incontinence and ostomy appliances, per 16 oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4192.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SC STD MYOBACTERIA PROP METH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87190", "description": "SC STD MYOBACTERIA PROP METH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of metatarsophalangeal joint dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28630", "description": "Closed treatment of metatarsophalangeal joint dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24115", "description": "Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1244.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 217.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27048", "description": "Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1059.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0449T", "description": "Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space; initial device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1267.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87299", "description": "Infectious agent antigen detection by immunofluorescent technique; not otherwise specified, each organism", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63740", "description": "Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ MAL PRST8 TISS HIFU", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55880", "description": "ABLTJ MAL PRST8 TISS HIFU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1534.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26416", "description": "Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1607.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12016", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90748", "description": "Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73502", "description": "Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supervision, handling, loading of radiation source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77790", "description": "Supervision, handling, loading of radiation source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34820", "description": "OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0447T", "description": "Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, infliximab-abda, biosimilar, (renflexis), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5104", "description": "Injection, infliximab-abda, biosimilar, (renflexis), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69632", "description": "TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1713.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INNOVAMATRIX FS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2013", "description": "INNOVAMATRIX FS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 171.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion of lid margin (up to 1 cm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67850", "description": "Destruction of lesion of lid margin (up to 1 cm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEU SEQUENTIAL COMP GMT TRUNK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0677", "description": "NONPNEU SEQUENTIAL COMP GMT TRUNK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32662", "description": "Thoracoscopy, surgical; with excision of mediastinal cyst, tumor, or mass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1566.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stapes mobilization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69650", "description": "Stapes mobilization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ceruloplasmin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82390", "description": "Ceruloplasmin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BREATHING RESPONSE HYPOXIA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94450", "description": "BREATHING RESPONSE HYPOXIA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29895", "description": "Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 762.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35142", "description": "DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2185.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31237", "description": "Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphorus inorganic (phosphate);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84100", "description": "Phosphorus inorganic (phosphate);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, complete assembly, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0045", "description": "Footrest, complete assembly, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of embedded foreign body from dentoalveolar structures; bone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41806", "description": "Removal of embedded foreign body from dentoalveolar structures; bone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, belinostat, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9032", "description": "Injection, belinostat, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 75.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67101", "description": "Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 425.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of esophagostomy or fistula; transthoracic or transabdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43425", "description": "Closure of esophagostomy or fistula; transthoracic or transabdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2507.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUM EPCNDYLR FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24565", "description": "CLTX HUM EPCNDYLR FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 874.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39010", "description": "Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthoracic approach, including either transthoracic or median sternotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1383.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NAFCILLIN BAXTER 20MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2291", "description": "INJ NAFCILLIN BAXTER 20MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DAP NOT THER EQV TO J0878 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0877", "description": "INJ DAP NOT THER EQV TO J0878 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVAKINAGENE PER IMPLANT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3403", "description": "REVAKINAGENE PER IMPLANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 371085.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0864", "description": "Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3306.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92626", "description": "EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92618", "description": "EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC 1ST /CRV RIB W/SYMPTH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21616", "description": "EXC 1ST /CRV RIB W/SYMPTH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1216.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement electrodes for use with automated external defibrillator, garment type only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0609", "description": "Replacement electrodes for use with automated external defibrillator, garment type only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1723.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11606", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 488.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24160", "description": "Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2064.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, trochanteric pressure ulcer, with skin flap closure;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15952", "description": "Excision, trochanteric pressure ulcer, with skin flap closure;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1484.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47533", "description": "PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 390.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasoactive intestinal peptide (VIP)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84586", "description": "Vasoactive intestinal peptide (VIP)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GLUCOSE MONITOR W CARTRIDGE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2104", "description": "GLUCOSE MONITOR W CARTRIDGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63600", "description": "Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2050.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phospholipid neutralization; platelet", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85597", "description": "Phospholipid neutralization; platelet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SLD TUM CRCG TUM CL SLCT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0338U", "description": "ONC SLD TUM CRCG TUM CL SLCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3652.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62370", "description": "ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, chlorothiazide sodium, per 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1205", "description": "Injection, chlorothiazide sodium, per 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63304", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4328.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone graft, any donor area; minor or small (eg, dowel or button)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20900", "description": "Bone graft, any donor area; minor or small (eg, dowel or button)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 284.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transluminal dilation of aqueous outflow canal; without retention of device or stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66174", "description": "Transluminal dilation of aqueous outflow canal; without retention of device or stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 936.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; supratentorial, complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61682", "description": "Surgery of intracranial arteriovenous malformation; supratentorial, complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7392.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93893", "description": "Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, free toe joint, with microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26556", "description": "Transfer, free toe joint, with microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5536.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4271.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65435", "description": "Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44144", "description": "Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2967.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15274", "description": "APP SKN SUB GRFT T/A/L AREA>/=100SCM ADL 100SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15936", "description": "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1514.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88141", "description": "Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62351", "description": "IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1698.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ZANIDATAMAB HRII 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9276", "description": "INJECTION ZANIDATAMAB HRII 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15157", "description": "CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; hot or cold packs", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97010", "description": "Application of a modality to 1 or more areas; hot or cold packs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wound closure utilizing tissue adhesive(s) only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0168", "description": "Wound closure utilizing tissue adhesive(s) only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88341", "description": "Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin test; tuberculosis, intradermal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86580", "description": "Skin test; tuberculosis, intradermal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92537", "description": "Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76706", "description": "Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68745", "description": "Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1224.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0061U", "description": "TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRD CMP STCK B KNEE 40 MMHG OR< EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6554", "description": "GRD CMP STCK B KNEE 40 MMHG OR< EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POST D/C PHONE FOLLOW UP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0544", "description": "POST D/C PHONE FOLLOW UP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; fungus, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86671", "description": "Antibody; fungus, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HI COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6452", "description": "HI COMPRS BANDGE LOAD RESIST WDTH >/= 3 & <5 IN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION PE HCL BIORPHEN 20 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2372", "description": "INJECTION PE HCL BIORPHEN 20 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Casting supplies, body cast adult, with or without head, plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4001", "description": "Casting supplies, body cast adult, with or without head, plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44186", "description": "Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1137.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27216", "description": "PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1379.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GRMNT GENITAL REG EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6570", "description": "GRADIENT COMPR GRMNT GENITAL REG EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0515T", "description": "INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 937.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44140", "description": "Colectomy, partial; with anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2272.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9503", "description": "Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 139.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3302.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33225", "description": "INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 716.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 940.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TOT DISC ARTHRP ANT LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22857", "description": "TOT DISC ARTHRP ANT LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2820.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Temporary closure of eyelids by suture (eg, Frost suture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67875", "description": "Temporary closure of eyelids by suture (eg, Frost suture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to headboard, cervical traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0840", "description": "Traction frame, attached to headboard, cervical traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL FINGER SPLINT STATIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29130", "description": "APPL FINGER SPLINT STATIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy faceplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4361", "description": "Ostomy faceplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; fibula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27707", "description": "Osteotomy; fibula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 700.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, chest (includes mediastinum), real time with image documentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76604", "description": "Ultrasound, chest (includes mediastinum), real time with image documentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 369.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50434", "description": "CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2751.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2783", "description": "Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electric heat pad, standard", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0210", "description": "Electric heat pad, standard", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93640", "description": "EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM AUT DM CGEN TRMBCTPNA 14", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0269U", "description": "HEM AUT DM CGEN TRMBCTPNA 14", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEG PNEUM COMP HEAD NECK CHE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0659", "description": "SEG PNEUM COMP HEAD NECK CHE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Eye imaging validated to match diagnosis from 7 standard field stereoscopic retinal photos results documented and reviewed; with evidence of retinopathy (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2026F", "description": "Eye imaging validated to match diagnosis from 7 standard field stereoscopic retinal photos results documented and reviewed; with evidence of retinopathy (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM TX MGMT 1ST 10 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98979", "description": "RTM TX MGMT 1ST 10 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, soft tissue neck; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70491", "description": "Computed tomography, soft tissue neck; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 214.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nursing facility discharge day management; 30 minutes or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99315", "description": "Nursing facility discharge day management; 30 minutes or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94621", "description": "Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 175.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine; thoracic, 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72070", "description": "Radiologic examination, spine; thoracic, 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33989", "description": "Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 821.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25023", "description": "Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2261.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 771.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53010", "description": "Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 493.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FVIII AHF GLYCOPGYLTD-EXEI P-IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7204", "description": "INJ FVIII AHF GLYCOPGYLTD-EXEI P-IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4338", "description": "Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86325", "description": "Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with concentration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of pancreas (eg, cyst, adenoma)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48120", "description": "Excision of lesion of pancreas (eg, cyst, adenoma)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1915.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, trimethobenzamide HCl, up to 200 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3250", "description": "Injection, trimethobenzamide HCl, up to 200 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, mastoids; less than 3 views per side", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70120", "description": "Radiologic examination, mastoids; less than 3 views per side", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture of orbit, except blowout; without implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21406", "description": "Open treatment of fracture of orbit, except blowout; without implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 966.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0561T", "description": "ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57283", "description": "Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1097.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Porphobilinogen, urine; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84106", "description": "Porphobilinogen, urine; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fat or lipids, feces; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82705", "description": "Fat or lipids, feces; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, surgical; synovectomy, partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29844", "description": "Arthroscopy, wrist, surgical; synovectomy, partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinogen; antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85385", "description": "Fibrinogen; antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39503", "description": "Repair, neonatal diaphragmatic hernia, with or without chest tube insertion and with or without creation of ventral hernia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9777.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCELLERATE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4234", "description": "XCELLERATE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCL LAA OPN OTH PX ANY METH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33268", "description": "EXCL LAA OPN OTH PX ANY METH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iridectomy, with corneoscleral or corneal section; with cyclectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66605", "description": "Iridectomy, with corneoscleral or corneal section; with cyclectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1602.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FOSCARB 0.25 FOSLEVODOPA 5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7356", "description": "INJ FOSCARB 0.25 FOSLEVODOPA 5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration; intravenous, push technique, single or initial substance/drug", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96409", "description": "Chemotherapy administration; intravenous, push technique, single or initial substance/drug", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4434", "description": "Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81311", "description": "NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg, colorectal carcinoma), gene analysis, variants in exon 2 (eg, codons 12 and 13) and exon 3 (eg, codon 61)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRIGRAFT FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4377", "description": "TRIGRAFT FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31649", "description": "BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; infraorbital nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64734", "description": "Transection or avulsion of; infraorbital nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1036.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68750", "description": "Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1301.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRF COM TECH-B SRVC VR C/I Q HCP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2251", "description": "BRF COM TECH-B SRVC VR C/I Q HCP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VENT DUAL FNCT INCL ALL ACCESS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0468", "description": "HOME VENT DUAL FNCT INCL ALL ACCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2189.06, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lumbar hernia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49540", "description": "Repair lumbar hernia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1172.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision (including removal) of prosthetic vaginal graft; open abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57296", "description": "Revision (including removal) of prosthetic vaginal graft; open abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1497.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lung hernia through chest wall", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32800", "description": "Repair lung hernia through chest wall", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1666.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ KDN ALGRFT REJ 1494", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0088U", "description": "TRNSPLJ KDN ALGRFT REJ 1494", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4739.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX SPRCNDYLR HUMERAL FX WO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24530", "description": "CLTX SPRCNDYLR HUMERAL FX WO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 643.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28292", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with resection of proximal phalanx base, when performed, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 800.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPREHENSIVE METABOLIC PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80053", "description": "COMPREHENSIVE METABOLIC PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; calcaneus, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73650", "description": "Radiologic examination; calcaneus, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4312", "description": "Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way, all silicone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61590", "description": "INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4774.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proton treatment delivery; complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77525", "description": "Proton treatment delivery; complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1901.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22903", "description": "Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, sterile cefuroxime sodium, per 750 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0697", "description": "Injection, sterile cefuroxime sodium, per 750 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52346", "description": "Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 681.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MITOCHONDRIAL ANTIBODY EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86381", "description": "MITOCHONDRIAL ANTIBODY EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47712", "description": "Excision of bile duct tumor, with or without primary repair of bile duct; intrahepatic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3393.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; orchiectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54690", "description": "Laparoscopy, surgical; orchiectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1035.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX SPRCNDYLR HUMERAL FX W/", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24535", "description": "CLTX SPRCNDYLR HUMERAL FX W/", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1013.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; dural, complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61692", "description": "Surgery of intracranial arteriovenous malformation; dural, complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6601.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFORT I 2 W/GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21146", "description": "RCNSTJ MDFC LEFORT I 2 W/GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2556.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA typing; DR/DQ, single antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86816", "description": "HLA typing; DR/DQ, single antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0075T", "description": "Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1227.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of anterior instrumentation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22855", "description": "Removal of anterior instrumentation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1941.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28297", "description": "Correction, hallux valgus (bunionectomy), with sesamoidectomy, when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 982.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2125.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 424.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35001", "description": "DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1840.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25136", "description": "Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COLGN CRS-LINK CRN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0402T", "description": "COLGN CRS-LINK CRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61751", "description": "Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2615.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84379", "description": "Sugars (mono-, di-, and oligosaccharides); multiple quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32673", "description": "Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2096.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Unlisted computed tomography procedure (eg, diagnostic, interventional)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76497", "description": "Unlisted computed tomography procedure (eg, diagnostic, interventional)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33410", "description": "Replacement, aortic valve, open, with cardiopulmonary bypass; with stentless tissue valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4345.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20802", "description": "Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4409.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical chest wall oscillation to facilitate lung function, per session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94669", "description": "Mechanical chest wall oscillation to facilitate lung function, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78020", "description": "Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iris supported intraocular lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2631", "description": "Iris supported intraocular lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43775", "description": "Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1835.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultralightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0005", "description": "Ultralightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 395.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Secondary closure of surgical wound or dehiscence, extensive or complicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "13160", "description": "Secondary closure of surgical wound or dehiscence, extensive or complicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, radial head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24130", "description": "Excision, radial head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 867.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjustable angle footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0040", "description": "Adjustable angle footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 516.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67912", "description": "Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 739.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm splint, adult (11 years +), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4022", "description": "Cast supplies, short arm splint, adult (11 years +), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN TUM WHL TRNS SEQ RNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0298U", "description": "ONC PAN TUM WHL TRNS SEQ RNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin (Bivigam), 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1556", "description": "Injection, immune globulin (Bivigam), 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PESSARY REUSABLE NON RUBBER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4562", "description": "PESSARY REUSABLE NON RUBBER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78483", "description": "CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 532.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87471", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Listeria monocytogenes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86723", "description": "Antibody; Listeria monocytogenes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheel attachment, rigid pick-up walker, per pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0155", "description": "Wheel attachment, rigid pick-up walker, per pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90876", "description": "INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total hip arthroplasty; both components, with or without autograft or allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27134", "description": "Revision of total hip arthroplasty; both components, with or without autograft or allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3049.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98962", "description": "EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydroxyproline; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83500", "description": "Hydroxyproline; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of prosthesis, includes debridement and synovectomy when performed; radial head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24164", "description": "Removal of prosthesis, includes debridement and synovectomy when performed; radial head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1225.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92533", "description": "Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemorrhoidectomy, internal, by rubber band ligation(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46221", "description": "Hemorrhoidectomy, internal, by rubber band ligation(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transtracheal oxygen catheter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4608", "description": "Transtracheal oxygen catheter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADM PV FLU HB A/O COVID-19 VAC H;", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0201", "description": "ADM PV FLU HB A/O COVID-19 VAC H;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPMT NUDT15 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0034U", "description": "TPMT NUDT15 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Residual limb support system for wheelchair, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1020", "description": "Residual limb support system for wheelchair, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5929.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCR CYTOPATH CERV/VAG SCR AUTO&MNL RSCR PHYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0145", "description": "SCR CYTOPATH CERV/VAG SCR AUTO&MNL RSCR PHYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2364", "description": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ocrelizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2350", "description": "Injection, ocrelizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, eravacycline, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0122", "description": "Injection, eravacycline, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortoplasty (gusset) for supravalvular stenosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33417", "description": "Aortoplasty (gusset) for supravalvular stenosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2880.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20664", "description": "Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1756.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 976.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4035", "description": "Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27391", "description": "Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 989.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82962", "description": "Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insulin antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86337", "description": "Insulin antibodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31652", "description": "BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 340.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION FITUSIRAN 0.04 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7174", "description": "INJECTION FITUSIRAN 0.04 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7604.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0955", "description": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81227", "description": "CYP2C9 (cytochrome P450, family 2, subfamily C, polypeptide 9) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3, *5, *6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total hip arthroplasty; femoral component only, with or without allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27138", "description": "Revision of total hip arthroplasty; femoral component only, with or without allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2457.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34710", "description": "DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1319.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TX TARSAL B1 FX W/O MNPJ EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28450", "description": "TX TARSAL B1 FX W/O MNPJ EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26735", "description": "Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1008.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE EP EVAL TX SVT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93653", "description": "COMPRE EP EVAL TX SVT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1292.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61450", "description": "Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3540.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUSHIELD PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4160", "description": "NUSHIELD PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41153", "description": "Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3705.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 601.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of eccrine glands; both axillae", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64650", "description": "Chemodenervation of eccrine glands; both axillae", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33362", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2139.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APP SKN CL SSP AGRF T/A/L EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15016", "description": "APP SKN CL SSP AGRF T/A/L EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESANO A PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4272", "description": "ESANO A PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHOLE MITOCHONDRIAL GENOME", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81460", "description": "WHOLE MITOCHONDRIAL GENOME", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1930.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45327", "description": "Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, one-arm drive attachment, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0958", "description": "Manual wheelchair accessory, one-arm drive attachment, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93288", "description": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water collection device, used with large volume nebulizer", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7012", "description": "Water collection device, used with large volume nebulizer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90385", "description": "Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41150", "description": "Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3425.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64612", "description": "Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB PSY 14&CYP2D6 GN-RX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0477U", "description": "RX METAB PSY 14&CYP2D6 GN-RX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AI DS SLE ALYS 11 CYTOKINE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0447U", "description": "AI DS SLE ALYS 11 CYTOKINE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Troponin, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84484", "description": "Troponin, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61710", "description": "Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intra-arterial embolization, injection procedure, or balloon catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3937.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUBQ NJX FIL MATRL 1.1-5.0CC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11951", "description": "SUBQ NJX FIL MATRL 1.1-5.0CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, serologic; ABO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86900", "description": "Blood typing, serologic; ABO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "U2AF1 GENE COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81357", "description": "U2AF1 GENE COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92273", "description": "Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99407", "description": "Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 75.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRVS TEST MATL & EQUIP HOME INR MON; ONCE A WEEK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0249", "description": "PRVS TEST MATL & EQUIP HOME INR MON; ONCE A WEEK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 117.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83861", "description": "Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6355.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sperm evaluation; hamster penetration test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89329", "description": "Sperm evaluation; hamster penetration test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation of shoulder;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23920", "description": "Disarticulation of shoulder;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1858.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMV NTR OI IMP SK TC>=100", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69728", "description": "RMV NTR OI IMP SK TC>=100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 915.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS KNEE SURG LYSIS ADS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29884", "description": "ARTHRS KNEE SURG LYSIS ADS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1050.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm cast, pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4007", "description": "Cast supplies, long arm cast, pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, lithium-based battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2397", "description": "Power wheelchair accessory, lithium-based battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 781.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4558", "description": "Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPLICATION LONG ARM SPLINT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29105", "description": "APPLICATION LONG ARM SPLINT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cricotracheal resection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31592", "description": "Cricotracheal resection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2697.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BRS QUAN ELISA BF9AG SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0559U", "description": "ONC BRS QUAN ELISA BF9AG SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82595", "description": "Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed, with barrier attached, with filter (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4416", "description": "Ostomy pouch, closed, with barrier attached, with filter (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2494.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of multiple external papillae or tags, anus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46230", "description": "Excision of multiple external papillae or tags, anus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ MDFC LEFORT I 1 W/GRF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21145", "description": "RCNSTJ MDFC LEFORT I 1 W/GRF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2447.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4668.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76885", "description": "Ultrasound, infant hips, real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26502", "description": "Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1334.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable forearm pronation/supination device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1802", "description": "Dynamic adjustable forearm pronation/supination device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 698.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10035", "description": "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of colostomy; with repair of paracolostomy hernia (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44346", "description": "Revision of colostomy; with repair of paracolostomy hernia (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1983.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, renal, bilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75833", "description": "Venography, renal, bilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; ischial tuberosity and greater trochanter of femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27078", "description": "Radical resection of tumor; ischial tuberosity and greater trochanter of femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3297.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy; partial resection of rectum, transabdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45111", "description": "Proctectomy; partial resection of rectum, transabdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1814.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0076", "description": "Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; metacarpal, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26565", "description": "Osteotomy; metacarpal, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1232.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tape, waterproof, per 18 sq in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4452", "description": "Tape, waterproof, per 18 sq in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.81, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "AW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMPR GMT LWR LG&FT PAD NT USE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6524", "description": "GD CMPR GMT LWR LG&FT PAD NT USE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 575.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, antirollback device, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0974", "description": "Manual wheelchair accessory, antirollback device, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91034", "description": "Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNST SUPR-LAT ORB RM LW FHD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21172", "description": "RCNST SUPR-LAT ORB RM LW FHD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3943.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61536", "description": "Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4712.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58410", "description": "Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1279.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0260", "description": "Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AQUAPORIN-4 ANTB ELISA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86051", "description": "AQUAPORIN-4 ANTB ELISA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17312", "description": "MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of Thiersch wire or suture, anal canal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46754", "description": "Removal of Thiersch wire or suture, anal canal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 423.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMPR GMT F LG&FT PAD NT USE EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6526", "description": "GRAD CMPR GMT F LG&FT PAD NT USE EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1039.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81206", "description": "BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BACT&FNG GRAM POS ORG ID & RX RESIST DNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0141U", "description": "NFCT DS BACT&FNG GRAM POS ORG ID & RX RESIST DNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; tolerance test (GTT), 3 specimens (includes glucose)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82951", "description": "Glucose; tolerance test (GTT), 3 specimens (includes glucose)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; with barrier attached, (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5061", "description": "Ostomy pouch, drainable; with barrier attached, (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration set, with small volume nonfiltered pneumatic nebulizer, nondisposable", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7005", "description": "Administration set, with small volume nonfiltered pneumatic nebulizer, nondisposable", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intra-atrial pacing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93610", "description": "Intra-atrial pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 119.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0168", "description": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23420", "description": "Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1626.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tendon, palm, flexor or extensor, single, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26170", "description": "Excision of tendon, palm, flexor or extensor, single, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97814", "description": "ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wound pouch, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6154", "description": "Wound pouch, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, thumb (includes distal tip to MP joint), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20827", "description": "Replantation, thumb (includes distal tip to MP joint), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2954.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTOG GENOM-WID ALYS HEM MAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81195", "description": "CYTOG GENOM-WID ALYS HEM MAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2794.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venous anastomosis, open; portocaval", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37140", "description": "Venous anastomosis, open; portocaval", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3918.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80426", "description": "Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4036", "description": "Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23532", "description": "Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1071.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87045", "description": "Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28675", "description": "Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96370", "description": "Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, triluron, for intraarticular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7332", "description": "Hyaluronan or derivative, triluron, for intraarticular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87623", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7208", "description": "Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPRATHEL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2012", "description": "SUPRATHEL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TAFASITAMAB-CXIX 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9349", "description": "INJECTION TAFASITAMAB-CXIX 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44300", "description": "Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1449.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, stationary", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9006", "description": "Parenteral nutrition infusion pump, stationary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "MS" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3304", "description": "Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMV&RPLCMT PHRNC NRV STIM LD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33288", "description": "RMV&RPLCMT PHRNC NRV STIM LD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 823.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glutamyltransferase, gamma (GGT)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82977", "description": "Glutamyltransferase, gamma (GGT)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; hemoglobin (Hgb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85018", "description": "Blood count; hemoglobin (Hgb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.56, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; encephalitis, St. Louis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86653", "description": "Antibody; encephalitis, St. Louis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; brachial-ulnar or -radial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35523", "description": "Bypass graft, with vein; brachial-ulnar or -radial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2051.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TP53 GENE FULL GENE SEQUENCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81351", "description": "TP53 GENE FULL GENE SEQUENCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 962.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urography, infusion, drip technique and/or bolus technique; with nephrotomography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74415", "description": "Urography, infusion, drip technique and/or bolus technique; with nephrotomography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 230.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33645", "description": "Direct or patch closure, sinus venosus, with or without anomalous pulmonary venous drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2952.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prolonged evaluation and management service before and/or after direct patient care; first hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99358", "description": "Prolonged evaluation and management service before and/or after direct patient care; first hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement of extensive eczematous or infected skin; up to 10% of body surface", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11000", "description": "Debridement of extensive eczematous or infected skin; up to 10% of body surface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71555", "description": "Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC FPVT ATHRC SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37272", "description": "REVSC EVSC FPVT ATHRC SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 328.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TENOTOMY ADDUCTOR HIP PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27000", "description": "TENOTOMY ADDUCTOR HIP PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33237", "description": "Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1504.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "METHOTREXATE JYLAMVO ORAL 2.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8611", "description": "METHOTREXATE JYLAMVO ORAL 2.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31554", "description": "Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2645.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cervical stump, vaginal approach; with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57556", "description": "Excision of cervical stump, vaginal approach; with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 928.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21267", "description": "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2614.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1230", "description": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3823.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; talus or calcaneus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27647", "description": "Radical resection of tumor; talus or calcaneus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1550.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 290.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2621", "description": "Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 586.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SKINTE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4200", "description": "SKINTE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81373", "description": "HLA Class I typing, low resolution (eg, antigen equivalents); one locus (eg, HLA-A, -B, or -C), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical dressing holder, nonreusable, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4461", "description": "Surgical dressing holder, nonreusable, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Bordetella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86615", "description": "Antibody; Bordetella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20938", "description": "AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction frame, attached to footboard, pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0890", "description": "Traction frame, attached to footboard, pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection abciximab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0130", "description": "Injection abciximab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2022.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EL-1 FECAL QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82653", "description": "EL-1 FECAL QUANTITATIVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83690", "description": "Lipase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Powered air overlay for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0372", "description": "Powered air overlay for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43240", "description": "EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardioassist-method of circulatory assist; internal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92970", "description": "Cardioassist-method of circulatory assist; internal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 296.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gamete, zygote, or embryo intrafallopian transfer, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58976", "description": "Gamete, zygote, or embryo intrafallopian transfer, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 330.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35681", "description": "Bypass graft; composite, prosthetic and vein (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0580", "description": "Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 185.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRL RVS CH OCC ANT&RTRGR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92945", "description": "PRQ TRL RVS CH OCC ANT&RTRGR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1069.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40702", "description": "Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1603.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33224", "description": "INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 801.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33330", "description": "Insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2475.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62258", "description": "Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2078.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95134", "description": "PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PATH CLIN CONSLTJ MOD 21-40", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80504", "description": "PATH CLIN CONSLTJ MOD 21-40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, rigid, wheeled, adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0141", "description": "Walker, rigid, wheeled, adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 85.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2386", "description": "Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88245", "description": "Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE), 20-25 cells", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0967", "description": "Manual wheelchair accessory, hand rim with projections, any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.68, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOG-IGG1 ANTB FLO CYTMTRY EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86363", "description": "MOG-IGG1 ANTB FLO CYTMTRY EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PED HOME APNEA MNTR ATT ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94775", "description": "PED HOME APNEA MNTR ATT ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63302", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, thoracic by thoracolumbar approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4030.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PNEUMCYSTS JIROVECII AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87594", "description": "PNEUMCYSTS JIROVECII AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93226", "description": "External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ropivacaine HCl, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2795", "description": "Injection, ropivacaine HCl, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0434", "description": "Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, addition to power seating system, power leg elevation system, including legrest, pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1010", "description": "Wheelchair accessory, addition to power seating system, power leg elevation system, including legrest, pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3220.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX RDL HEAD SUBLXTJ NRSEMD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24640", "description": "CLTX RDL HEAD SUBLXTJ NRSEMD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9984", "description": "Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIO QUAD-CORE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4294", "description": "AMNIO QUAD-CORE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19288", "description": "PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21408", "description": "Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1451.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99347", "description": "HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Temporary transcutaneous pacing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92953", "description": "Temporary transcutaneous pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION PREMALIGNANT LESION 2-14 EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17003", "description": "DESTRUCTION PREMALIGNANT LESION 2-14 EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5117", "description": "Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, haloperidol, up to 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1630", "description": "Injection, haloperidol, up to 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fixed wing air mileage, per statute mile", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0435", "description": "Fixed wing air mileage, per statute mile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of ovarian abscess; vaginal approach, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58820", "description": "Drainage of ovarian abscess; vaginal approach, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 539.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose-6-phosphate dehydrogenase (G6PD); quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82955", "description": "Glucose-6-phosphate dehydrogenase (G6PD); quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81434", "description": "HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0072", "description": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 121.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86003", "description": "Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pad for water circulating heat unit, for replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0249", "description": "Pad for water circulating heat unit, for replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic procedures to increase strength or endurance of respiratory muscles, face-to-face, one-on-one, each 15 minutes (includes monitoring)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0237", "description": "Therapeutic procedures to increase strength or endurance of respiratory muscles, face-to-face, one-on-one, each 15 minutes (includes monitoring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90847", "description": "Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81181", "description": "ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99292", "description": "CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1291.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32482", "description": "Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2739.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47371", "description": "Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2163.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEUPROLIDE INJECTABLE CAMCEVI, 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1952", "description": "LEUPROLIDE INJECTABLE CAMCEVI, 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87557", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol (ethanol); breath", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82075", "description": "Alcohol (ethanol); breath", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 70.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SIMPLIGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4340", "description": "SIMPLIGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63300", "description": "Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3260.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bendamustine HCl (Treanda), 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9033", "description": "Injection, bendamustine HCl (Treanda), 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAREGIVER TRAING 1ST 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97550", "description": "CAREGIVER TRAING 1ST 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11308", "description": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 102.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, golimumab, 1 mg, for intravenous use", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1602", "description": "Injection, golimumab, 1 mg, for intravenous use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Collagen cross links, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82523", "description": "Collagen cross links, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33925", "description": "Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2917.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23700", "description": "Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 330.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cineplasty, upper extremity, complete procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24940", "description": "Cineplasty, upper extremity, complete procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1199.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81003", "description": "URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28104", "description": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 594.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, colostomy or skin level cecostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44188", "description": "Laparoscopy, surgical, colostomy or skin level cecostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2055.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC LUNG MRNA QUAN PCR 11&3", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0288U", "description": "ONC LUNG MRNA QUAN PCR 11&3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26670", "description": "Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, hydrocortisone sodium succinate, up to 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1720", "description": "Injection, hydrocortisone sodium succinate, up to 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0523T", "description": "INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22319", "description": "OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3421.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33858", "description": "AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5714.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of mandibular fracture with interdental fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21453", "description": "Closed treatment of mandibular fracture with interdental fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1582.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; toes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29550", "description": "Strapping; toes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMCHOPLAST FD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4360", "description": "AMCHOPLAST FD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4166", "description": "CYTAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL FB MUSC/TDN DEEP/COMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20525", "description": "RMVL FB MUSC/TDN DEEP/COMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 416.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, nonsegmental home model", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0650", "description": "Pneumatic compressor, nonsegmental home model", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1050.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB FETAL AG NIPT CFDNA ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0488U", "description": "OB FETAL AG NIPT CFDNA ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysteroscopy, surgical; with removal of leiomyomata", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58561", "description": "Hysteroscopy, surgical; with removal of leiomyomata", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hips, bilateral, with pelvis when performed; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73521", "description": "Radiologic examination, hips, bilateral, with pelvis when performed; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS WHL GEN SEQ FTL SAMP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0469U", "description": "RARE DS WHL GEN SEQ FTL SAMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1796.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2327", "description": "PWR WC ACSS HEAD CNTRL INTERFCE MECH PROPRTNAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of back or flank; deep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21925", "description": "Biopsy, soft tissue of back or flank; deep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 671.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION RISPERIDONE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2799", "description": "INJECTION RISPERIDONE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of vesicovaginal fistula, abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51900", "description": "Closure of vesicovaginal fistula, abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1300.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81263", "description": "IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 441.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pyridoxine HCl, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3415", "description": "Injection, pyridoxine HCl, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80415", "description": "Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol, total (82670 x 2 on 3 pooled)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93280", "description": "PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exhalation port with or without swivel used with accessories for positive airway devices, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7045", "description": "Exhalation port with or without swivel used with accessories for positive airway devices, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99205", "description": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50660", "description": "Ureterectomy, total, ectopic ureter, combination abdominal, vaginal and/or perineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1781.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pail or pan for use with commode chair, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0167", "description": "Pail or pan for use with commode chair, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11043", "description": "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 244.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38573", "description": "LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1946.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62305", "description": "MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 317.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77770", "description": "Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 333.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74221", "description": "RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33263", "description": "Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 620.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42845", "description": "Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3398.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43830", "description": "Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1229.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Residual limb support system for wheelchair, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1020", "description": "Residual limb support system for wheelchair, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 305.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78227", "description": "Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 611.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2204", "description": "Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal biophysical profile; with non-stress testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76818", "description": "Fetal biophysical profile; with non-stress testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27511", "description": "Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1618.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0439", "description": "Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 11-20MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98971", "description": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 11-20MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0091", "description": "Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93786", "description": "AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93320", "description": "Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81331", "description": "SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg, Prader-Willi syndrome and/or Angelman syndrome), methylation analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27538", "description": "Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 808.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 0.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVIVAL AC PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4437", "description": "REVIVAL AC PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0651", "description": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSMT & CARE PLN PT COG IMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99483", "description": "ASSMT & CARE PLN PT COG IMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96402", "description": "Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26542", "description": "Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1243.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0800", "description": "Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1501.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BEVACIZUMAB-BVZR BIOSIMLR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5118", "description": "INJ BEVACIZUMAB-BVZR BIOSIMLR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Microprocessor control unit for use with electric ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0481", "description": "Microprocessor control unit for use with electric ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26195.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethroplasty; second stage (formation of urethra), including urinary diversion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53405", "description": "Urethroplasty; second stage (formation of urethra), including urinary diversion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1374.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81001", "description": "URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TRIAMCINOLONE ACT XIPERE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3299", "description": "INJ TRIAMCINOLONE ACT XIPERE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 67.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV antigen/antibody, combination assay, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0475", "description": "HIV antigen/antibody, combination assay, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protoporphyrin, RBC; screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84203", "description": "Protoporphyrin, RBC; screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO CERE FOLATE DEFNCY SRM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0399U", "description": "NEURO CERE FOLATE DEFNCY SRM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 450.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 135.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Release, tarsal tunnel (posterior tibial nerve decompression)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28035", "description": "Release, tarsal tunnel (posterior tibial nerve decompression)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4492.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 135.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33617", "description": "Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3692.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, elastography; parenchyma (eg, organ)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76981", "description": "Ultrasound, elastography; parenchyma (eg, organ)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MICROLYTE PAINGUARD PR SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2040", "description": "MICROLYTE PAINGUARD PR SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, facial bones; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70150", "description": "Radiologic examination, facial bones; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation of penis; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54125", "description": "Amputation of penis; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1309.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ MOXIFLOXACIN FRES KABI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2281", "description": "INJ MOXIFLOXACIN FRES KABI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0851", "description": "Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1628.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JAK2 GENE TRGT SEQUENCE ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81279", "description": "JAK2 GENE TRGT SEQUENCE ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 221.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Helicobacter pylori", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86677", "description": "Antibody; Helicobacter pylori", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CANDIDA SPECIES PNL AMP PRB", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0068U", "description": "CANDIDA SPECIES PNL AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 146.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Condylectomy, temporomandibular joint (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21050", "description": "Condylectomy, temporomandibular joint (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1403.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83625", "description": "Lactate dehydrogenase (LD), (LDH); isoenzymes, separation and quantitation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical lymphadenectomy (complete)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38720", "description": "Cervical lymphadenectomy (complete)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2124.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96002", "description": "Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28305", "description": "Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1100.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4394", "description": "Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fl oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43248", "description": "Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 257.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, handgrip, cane, crutch, or walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4636", "description": "Replacement, handgrip, cane, crutch, or walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADVOGRAFT ONE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4380", "description": "ADVOGRAFT ONE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, by intra-arterial particulate administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79445", "description": "Radiopharmaceutical therapy, by intra-arterial particulate administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36227", "description": "SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, folding (pickup), adjustable or fixed height", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0135", "description": "Walker, folding (pickup), adjustable or fixed height", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fitting of spectacle mounted low vision aid; single element system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92354", "description": "Fitting of spectacle mounted low vision aid; single element system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL HIP SPICA CAST1 1/2", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29325", "description": "APPL HIP SPICA CAST1 1/2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 301.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33750", "description": "Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2175.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARS-COV-2 COVID19 Antibody; severe acute respiratory syndr", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86769", "description": "SARS-COV-2 COVID19 Antibody; severe acute respiratory syndr", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ST ATH CPX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37295", "description": "RVSC EVSC TPVT ST ATH CPX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 677.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BREXUCABTAGENE CAR POS V T CELL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2053", "description": "BREXUCABTAGENE CAR POS V T CELL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 692392.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with internal urethrotomy; female", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52270", "description": "Cystourethroscopy, with internal urethrotomy; female", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 282.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNSTJ FOREHEAD WITH GRAFTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21179", "description": "RCNSTJ FOREHEAD WITH GRAFTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2394.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1357.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, sargramostim (GM-CSF), 50 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2820", "description": "Injection, sargramostim (GM-CSF), 50 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2311", "description": "Spherocylinder, trifocal, plus or minus 7.25 to plus or minus 12.00d sphere, 0.25 to 2.25d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2340", "description": "Power wheelchair accessory, nonstandard seat frame width, 20-23 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 766.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN EXC/DST NTRA-ABD 10.1-20", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49188", "description": "OPN EXC/DST NTRA-ABD 10.1-20", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3351.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86829", "description": "ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion, albumin (human), 5%, 50 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9041", "description": "Infusion, albumin (human), 5%, 50 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95965", "description": "Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4369.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55874", "description": "Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 246.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of everted punctum, cautery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68705", "description": "Correction of everted punctum, cautery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leukocyte phagocytosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86344", "description": "Leukocyte phagocytosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81289", "description": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRTL EXCISION BONE SCAPULA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23182", "description": "PRTL EXCISION BONE SCAPULA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1150.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, thigh length, 30-40 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6534", "description": "Gradient compression stocking, thigh length, 30-40 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ PRIOR HYPSPAD REPAIR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54352", "description": "REVJ PRIOR HYPSPAD REPAIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2197.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic radiology port image(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77417", "description": "Therapeutic radiology port image(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2360", "description": "Power wheelchair accessory, 22 NF nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, for use on faceplate, rubber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4378", "description": "Ostomy pouch, drainable, for use on faceplate, rubber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN PRQ RMV LIG FLV 1LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62330", "description": "DCMPRN PRQ RMV LIG FLV 1LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 828.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31288", "description": "Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 347.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pralatrexate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9307", "description": "Injection, pralatrexate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 555.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amikacin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80150", "description": "Amikacin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67025", "description": "Injection of vitreous substitute, pars plana or limbal approach (fluid-gas exchange), with or without aspiration (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 934.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34847", "description": "VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5163.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 108.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model.", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0080", "description": "Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model.", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I&V VI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47145", "description": "BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I&V VI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 730.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RELESE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4257", "description": "RELESE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92507", "description": "Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15733", "description": "MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1610.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breast pump, manual, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0602", "description": "Breast pump, manual, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, full-length/chap style, 18-30 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6536", "description": "Gradient compression stocking, full-length/chap style, 18-30 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALEXIGUARD DL-T PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4417", "description": "ALEXIGUARD DL-T PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; with barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5071", "description": "Ostomy pouch, urinary; with barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aminolevulinic acid, delta (ALA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82135", "description": "Aminolevulinic acid, delta (ALA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25415", "description": "Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1608.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rotary wing air mileage, per statute mile", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0436", "description": "Rotary wing air mileage, per statute mile", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22010", "description": "Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1751.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29840", "description": "Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 792.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21188", "description": "Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2516.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26111", "description": "Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2004.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KN" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTR CUT VSC PRLF LES<10SQCM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17106", "description": "DSTR CUT VSC PRLF LES<10SQCM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 418.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61210", "description": "Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2616", "description": "Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROTOMY HIP W/DRAINAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27030", "description": "ARTHROTOMY HIP W/DRAINAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1546.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2246.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65450", "description": "Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 502.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11920", "description": "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 182.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with biopsy; sacroiliac joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27050", "description": "Arthrotomy, with biopsy; sacroiliac joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 717.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2632.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44401", "description": "Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Homovanillic acid (HVA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83150", "description": "Homovanillic acid (HVA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0961", "description": "Manual wheelchair accessory, wheel lock brake extension (handle), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85046", "description": "BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, nonunion or malunion; tarsal bones", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28320", "description": "Repair, nonunion or malunion; tarsal bones", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1019.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adjustable angle footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0040", "description": "Adjustable angle footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, oxytocin, up to 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2590", "description": "Injection, oxytocin, up to 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of posterior tibial nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64840", "description": "Suture of posterior tibial nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1589.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with esophagomyotomy (Heller type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32665", "description": "Thoracoscopy, surgical; with esophagomyotomy (Heller type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2126.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17263", "description": "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APIS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2010", "description": "APIS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37253", "description": "INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-D/C H Vst new pt 75 m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2005", "description": "Post-D/C H Vst new pt 75 m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngectomy; total, without radical neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31360", "description": "Laryngectomy; total, without radical neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3181.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81164", "description": "BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 876.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58294", "description": "Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1899.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD W/O BACKUP NON-INV INTFC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0470", "description": "RAD W/O BACKUP NON-INV INTFC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95873", "description": "Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intracavitary radiation source application; complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77763", "description": "Intracavitary radiation source application; complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 607.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "U0002", "description": "CDC 2019 Novel Coronavirus Real-time RT-PCR Diag Panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26562", "description": "Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2349.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95130", "description": "PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87906", "description": "Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1, other region (eg, integrase, fusion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 193.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of carotid body tumor; without excision of carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60600", "description": "Excision of carotid body tumor; without excision of carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2217.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, leuprolide acetate (for depot suspension), per 3.75 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1950", "description": "Injection, leuprolide acetate (for depot suspension), per 3.75 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2498.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of femoral fracture, proximal end, neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27235", "description": "Percutaneous skeletal fixation of femoral fracture, proximal end, neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1500.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78645", "description": "Cerebrospinal fluid flow, imaging (not including introduction of material); shunt evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYGNUS DUAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4282", "description": "CYGNUS DUAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1034.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28238", "description": "Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 802.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KERECIS OMEGA3 MARIGEN SHLD PER CM2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2019", "description": "KERECIS OMEGA3 MARIGEN SHLD PER CM2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Macroscopic examination; parasite", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87169", "description": "Macroscopic examination; parasite", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC URTHL MRNA 5 GEN ALG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0363U", "description": "ONC URTHL MRNA 5 GEN ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High mount flip-up footrest, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0037", "description": "High mount flip-up footrest, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.58, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cefotaxime sodium, per g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0698", "description": "Injection, cefotaxime sodium, per g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95810", "description": "Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 993.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT THORAX LUNG CANCER SCR C-", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71271", "description": "CT THORAX LUNG CANCER SCR C-", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, thoracic spine; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72128", "description": "Computed tomography, thoracic spine; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Metanephrines", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83835", "description": "Metanephrines", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 11506.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lip, full thickness; vermilion only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40650", "description": "Repair lip, full thickness; vermilion only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 628.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, daptomycin, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0878", "description": "Injection, daptomycin, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0117", "description": "Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reinsertion of ocular implant; with or without conjunctival graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65150", "description": "Reinsertion of ocular implant; with or without conjunctival graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1100.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12046", "description": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MLNMA GEN XPRS PRFL RTQPCR PRAME & LINC00518", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0089U", "description": "ONC MLNMA GEN XPRS PRFL RTQPCR PRAME & LINC00518", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37197", "description": "PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 470.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81465", "description": "WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1404.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTACENT CORD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4216", "description": "ARTACENT CORD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPL MED ANTB NOHLA 39TRGT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0581U", "description": "TRNSPL MED ANTB NOHLA 39TRGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 488.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43246", "description": "Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2323.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1021.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, eribulin mesylate, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9179", "description": "Injection, eribulin mesylate, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable knee extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1810", "description": "Dynamic adjustable knee extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99387", "description": "INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BRIXADI 7 DAYS OR LESS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0577", "description": "INJ BRIXADI 7 DAYS OR LESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 590.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34151", "description": "Embolectomy or thrombectomy, with or without catheter; renal, celiac, mesentery, aortoiliac artery, by abdominal incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2310.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75561", "description": "Cardiac magnetic resonance imaging for morphology and function without contrast material(s), followed by contrast material(s) and further sequences;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7187", "description": "Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG); cerebral death evaluation only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95824", "description": "Electroencephalogram (EEG); cerebral death evaluation only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRNA 5 GENES UR ALG RISK UROTHELIAL CANCER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0012M", "description": "ONC MRNA 5 GENES UR ALG RISK UROTHELIAL CANCER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "2024F", "description": "7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1935.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45346", "description": "Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, partial, with anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44204", "description": "Laparoscopy, surgical; colectomy, partial, with anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2551.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57520", "description": "Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 489.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostaglandin, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84150", "description": "Prostaglandin, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methylation status)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81172", "description": "AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methylation status)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47542", "description": "BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy for gynecomastia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19300", "description": "Mastectomy for gynecomastia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 767.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AGENT NOS ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87899", "description": "AGENT NOS ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.11, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG FEMORAL-POPLITEAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35656", "description": "BPG FEMORAL-POPLITEAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1778.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, radius; middle or proximal third", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25355", "description": "Osteotomy, radius; middle or proximal third", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1290.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D BARTHOLINS GLAND ABSCESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56420", "description": "I D BARTHOLINS GLAND ABSCESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 177.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat height from floor", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1296", "description": "Special wheelchair seat height from floor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 670.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41827", "description": "Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 463.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27894", "description": "Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1366.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preparation of moulage for custom breast implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19396", "description": "Preparation of moulage for custom breast implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36252", "description": "SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 560.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2228", "description": "Manual wheelchair accessory, wheel braking system and lock, complete, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1491.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63267", "description": "Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2464.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM RBC ADS WHL BLD HYPOXIC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0303U", "description": "HEM RBC ADS WHL BLD HYPOXIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3302.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOL TUM 3DMICROENVIR 36+", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0511U", "description": "ONC SOL TUM 3DMICROENVIR 36+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4550.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MLNMA AMBRA1&AMLO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0387U", "description": "ONC MLNMA AMBRA1&AMLO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1422.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2221", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB GEN SEQ ALYS PNL 6", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81418", "description": "RX METAB GEN SEQ ALYS PNL 6", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1375.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of cervical stump, abdominal approach;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57540", "description": "Excision of cervical stump, abdominal approach;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1242.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody identification; platelet associated immunoglobulin assay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86023", "description": "Antibody identification; platelet associated immunoglobulin assay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flap; neurovascular pedicle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15750", "description": "Flap; neurovascular pedicle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1498.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL SUTR/STAPL XREQ ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15853", "description": "REMOVAL SUTR/STAPL XREQ ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31623", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR HARDWARE HEADREST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1033", "description": "WHEELCHAIR HARDWARE HEADREST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87536", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22847", "description": "Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1237.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Petrous apicectomy including radical mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69530", "description": "Petrous apicectomy including radical mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2692.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fondaparinux sodium, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1652", "description": "Injection, fondaparinux sodium, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57260", "description": "Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1217.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor; tarsal (except talus or calcaneus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28171", "description": "Radical resection of tumor; tarsal (except talus or calcaneus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1819.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67973", "description": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, 1 stage or first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1341.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 96.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2359", "description": "Power wheelchair accessory, group 34 sealed lead acid battery, each (e.g., gel cell, absorbed glass mat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC NONSM CLL LNG CA 37 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0388U", "description": "ONC NONSM CLL LNG CA 37 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5250.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR PARASTOMAL HERNIA RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49621", "description": "RPR PARASTOMAL HERNIA RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1240.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUMRL CNDYLR FX W/MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24577", "description": "CLTX HUMRL CNDYLR FX W/MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 893.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous balloon valvuloplasty; pulmonary valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92990", "description": "Percutaneous balloon valvuloplasty; pulmonary valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1753.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement soft interface material, dynamic adjustable extension/flexion device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1820", "description": "Replacement soft interface material, dynamic adjustable extension/flexion device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.09, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, benztropine mesylate, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0515", "description": "Injection, benztropine mesylate, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2351", "description": "Power wheelchair accessory, electronic interface to operate speech generating device using power wheelchair control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.78, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34709", "description": "PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 528.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99408", "description": "Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled centrally inserted central venous access device with subcutaneous pump", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36563", "description": "Insertion of tunneled centrally inserted central venous access device with subcutaneous pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 621.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS TFP VCTRBRN&ZOONOTIC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0595U", "description": "NFCT DS TFP VCTRBRN&ZOONOTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 832.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muramidase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85549", "description": "Muramidase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36406", "description": "Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FASCIOTOMY HIP/THIGH ANY TYP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27025", "description": "FASCIOTOMY HIP/THIGH ANY TYP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1577.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX SP-GENRATJ AUGMNT&COMUNICAJ DEV EA 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92608", "description": "RX SP-GENRATJ AUGMNT&COMUNICAJ DEV EA 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74363", "description": "Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 438.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78110", "description": "Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corticosterone", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82528", "description": "Corticosterone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78140", "description": "Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF/OTH OP E&M EST PT PROV 56 MG ESKETAMINE N SA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2082", "description": "OFF/OTH OP E&M EST PT PROV 56 MG ESKETAMINE N SA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65870", "description": "SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 888.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Banding of pulmonary artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33690", "description": "Banding of pulmonary artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2103.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of patellar fracture, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27520", "description": "Closed treatment of patellar fracture, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 556.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B core antibody (HBcAb); total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86704", "description": "Hepatitis B core antibody (HBcAb); total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6251", "description": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52355", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 713.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90686", "description": "Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6447.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KM" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67316", "description": "Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1027.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair lateral collateral ligament, elbow, with local tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24343", "description": "Repair lateral collateral ligament, elbow, with local tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1210.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0667", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.15, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dihydroergotamine mesylate, per 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1110", "description": "Injection, dihydroergotamine mesylate, per 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, bifocal, plano to plus or minus 4.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2200", "description": "Sphere, bifocal, plano to plus or minus 4.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, extensor, foot; single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28225", "description": "Tenolysis, extensor, foot; single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21248", "description": "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1266.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, gear reduction drive wheel, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2227", "description": "Manual wheelchair accessory, gear reduction drive wheel, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 384.5, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXC PILONIDAL CYST XTNSV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11771", "description": "EXC PILONIDAL CYST XTNSV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99190", "description": "Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1064.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 89.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; rotavirus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86759", "description": "Antibody; rotavirus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64492", "description": "NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68340", "description": "Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 627.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transposition and/or reimplantation; subclavian to carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35694", "description": "Transposition and/or reimplantation; subclavian to carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1650.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Placement of seton", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46020", "description": "Placement of seton", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spring-powered device for lancet, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4258", "description": "Spring-powered device for lancet, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "KL" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, pelvis or hip; subcutaneous tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27086", "description": "Removal of foreign body, pelvis or hip; subcutaneous tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ SULFAMETH/TRIM 5 MG/1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2865", "description": "INJ SULFAMETH/TRIM 5 MG/1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic analysis with programming of auditory brainstem implant, per hour", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92640", "description": "Diagnostic analysis with programming of auditory brainstem implant, per hour", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair with detachable arms, footrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1223", "description": "Wheelchair with detachable arms, footrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BENDAMUSTINE HCL VIVIMUSTA 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9056", "description": "INJ BENDAMUSTINE HCL VIVIMUSTA 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87581", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42210", "description": "Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1729.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 40.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64634", "description": "DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70559", "description": "MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40720", "description": "Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1644.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5063", "description": "Ostomy pouch, drainable; for use on barrier with flange (2-piece system), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sulfate, urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84392", "description": "Sulfate, urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37192", "description": "REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 570.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RBC AG FTL RHD GENE ALYS NGS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0494U", "description": "RBC AG FTL RHD GENE ALYS NGS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1138.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Large size footplate, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0041", "description": "Large size footplate, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrocystography, voiding, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74455", "description": "Urethrocystography, voiding, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 160.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY LACOSAMIDE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80235", "description": "DRUG ASSAY LACOSAMIDE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, sella turcica", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70240", "description": "Radiologic examination, sella turcica", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, garter belt", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6544", "description": "Gradient compression stocking, garter belt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Isocitric dehydrogenase (IDH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83570", "description": "Isocitric dehydrogenase (IDH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45398", "description": "Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 367.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33768", "description": "Anastomosis, cavopulmonary, second superior vena cava (List separately in addition to primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 689.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Galactose-1-phosphate uridyl transferase; screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82776", "description": "Galactose-1-phosphate uridyl transferase; screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, direct measurement; LDL cholesterol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83721", "description": "Lipoprotein, direct measurement; LDL cholesterol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.75, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5303.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28250", "description": "Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 680.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2506", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3708.24, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32701", "description": "Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 334.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein; electrophoretic fractionation and quantitation, serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84165", "description": "Protein; electrophoretic fractionation and quantitation, serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0652", "description": "Pneumatic compressor, segmental home model with calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10752.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical head harness/halter", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0942", "description": "Cervical head harness/halter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BORTEZOMIB BORUZU 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9054", "description": "INJ BORTEZOMIB BORUZU 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRANSCYTE PER SQUARE CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4182", "description": "TRANSCYTE PER SQUARE CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, partial, distal; with gastrojejunostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43632", "description": "Gastrectomy, partial, distal; with gastrojejunostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3422.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11302", "description": "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ RBZ-NUNA BIOSIM BYOOVIZ 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5124", "description": "INJ RBZ-NUNA BIOSIM BYOOVIZ 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67040", "description": "Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1500.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of trans-scaphoperilunar type of fracture dislocation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25685", "description": "Open treatment of trans-scaphoperilunar type of fracture dislocation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1241.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, triptorelin pamoate, 3.75 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3315", "description": "Injection, triptorelin pamoate, 3.75 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 664.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ LAMOT/LAM DCMPR CRV/THRC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0274T", "description": "PRQ LAMOT/LAM DCMPR CRV/THRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1133.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphatidylglycerol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84081", "description": "Phosphatidylglycerol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection of medication or other substance into Tenon's capsule", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67515", "description": "Injection of medication or other substance into Tenon's capsule", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90959", "description": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 578.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5113", "description": "INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral nutrition infusion pump, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9002", "description": "Enteral nutrition infusion pump, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1133.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55540", "description": "Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 984.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, forearm, through radius and ulna; open, circular (guillotine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25905", "description": "Amputation, forearm, through radius and ulna; open, circular (guillotine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1185.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53500", "description": "Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrogastrography, diagnostic, transcutaneous; with provocative testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91133", "description": "Electrogastrography, diagnostic, transcutaneous; with provocative testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 845.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99284", "description": "EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 13168.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ AV FSTL CRTJ UXTR 1 ACS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36836", "description": "PRQ AV FSTL CRTJ UXTR 1 ACS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64892", "description": "Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1716.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UREA BREATH TEST C-14 ALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78268", "description": "UREA BREATH TEST C-14 ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9958", "description": "High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Phosphorus inorganic (phosphate); urine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84105", "description": "Phosphorus inorganic (phosphate); urine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy with synovectomy, hip joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27054", "description": "Arthrotomy with synovectomy, hip joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1169.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11103", "description": "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, non-electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0629", "description": "Seat lift mechanism, non-electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABO GNOTYP ABO 7 EXONS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0180U", "description": "ABO GNOTYP ABO 7 EXONS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of swallowing dysfunction and/or oral function for feeding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92526", "description": "Treatment of swallowing dysfunction and/or oral function for feeding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0078", "description": "Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. services must be furnished within a beneficiary's home", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 202.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35566", "description": "Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2750.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bed pan, fracture, metal or plastic", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0276", "description": "Bed pan, fracture, metal or plastic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, lesion of floor of mouth", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41116", "description": "Excision, lesion of floor of mouth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 355.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Contact lens, hydrophilic, spherica", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2524", "description": "Contact lens, hydrophilic, spherica", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99391", "description": "PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 226.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D FOREARM /WRIST BURSA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25031", "description": "I D FOREARM /WRIST BURSA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 653.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVJ/RPLCMT OI IMPLT TC ESP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69719", "description": "REVJ/RPLCMT OI IMPLT TC ESP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 989.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82657", "description": "Enzyme activity in blood cells, cultured cells, or tissue, not elsewhere specified; nonradioactive substrate, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 Molecular pathology procedure, Level 3 (eg, 10 SNPs, 2-10 methylated variants, or 2-10 somatic variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81402", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 Molecular pathology procedure, Level 3 (eg, 10 SNPs, 2-10 methylated variants, or 2-10 somatic variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompressive fasciotomy, hand (excludes 26035)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26037", "description": "Decompressive fasciotomy, hand (excludes 26035)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 942.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG LW DNS FLT FM P/250SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6604", "description": "GD CMP BDG LW DNS FLT FM P/250SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 528.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2385", "description": "Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38520", "description": "Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SOCL WRK & PSYCH SRVC EA 15 MIN FACE-TO-FACE IND", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0409", "description": "SOCL WRK & PSYCH SRVC EA 15 MIN FACE-TO-FACE IND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1672.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99394", "description": "PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VANCOMYCIN HIKMA 10MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3376", "description": "INJ VANCOMYCIN HIKMA 10MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62192", "description": "Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1913.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, reteplase, 18.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2993", "description": "Injection, reteplase, 18.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3257.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49501", "description": "Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1070.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OSTEOT DSC ANT 1VRT SGM EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22226", "description": "OSTEOT DSC ANT 1VRT SGM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 592.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1195.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; with dilation, initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31528", "description": "Laryngoscopy direct, with or without tracheoscopy; with dilation, initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59410", "description": "Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1802.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92314", "description": "RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38205", "description": "Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96112", "description": "DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARIPIRAZOLE LAUROXIL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1944", "description": "ARIPIRAZOLE LAUROXIL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3248.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27888", "description": "Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 973.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reprogramming of programmable cerebrospinal shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62252", "description": "Reprogramming of programmable cerebrospinal shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amines, vaginal fluid, qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82120", "description": "Amines, vaginal fluid, qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fimbrioplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58760", "description": "Fimbrioplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1286.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2364", "description": "Power wheelchair accessory, U-1 nonsealed lead acid battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0738", "description": "PORTABLE GASEOUS O2 SYS RENTAL; HOME COMPRESSOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, deep, thigh region or knee area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27372", "description": "Removal of foreign body, deep, thigh region or knee area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25076", "description": "Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 878.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77065", "description": "Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50433", "description": "PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 378.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, upper extremity; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73201", "description": "Computed tomography, upper extremity; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92285", "description": "XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31081", "description": "Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1851.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99395", "description": "PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, patella; with prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27438", "description": "Arthroplasty, patella; with prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1403.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67975", "description": "Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1001.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 778.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63251", "description": "Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5522.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATHJ RMVL DEV ISCHMC RMDLG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53866", "description": "CATHJ RMVL DEV ISCHMC RMDLG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15151", "description": "Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61020", "description": "Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, chin cup for chin control interface", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2324", "description": "Power wheelchair accessory, chin cup for chin control interface", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transabdominal amnioinfusion, including ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59070", "description": "Transabdominal amnioinfusion, including ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 514.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Legionella", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86713", "description": "Antibody; Legionella", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; West Nile virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86789", "description": "Antibody; West Nile virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0105", "description": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5112", "description": "INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroretinography (ERG) with interpretation and report, pattern (PERG)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0509T", "description": "Electroretinography (ERG) with interpretation and report, pattern (PERG)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin; luteinizing hormone (LH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83002", "description": "Gonadotropin; luteinizing hormone (LH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHOLE BODY INTEGUMENTARY PHOTOGRAPHY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96904", "description": "WHOLE BODY INTEGUMENTARY PHOTOGRAPHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63278", "description": "Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, sacral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2987.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of deep periurethral abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53040", "description": "Drainage of deep periurethral abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 633.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43257", "description": "EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 354.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance angiography, abdomen, with or without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74185", "description": "Magnetic resonance angiography, abdomen, with or without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the vulva;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56820", "description": "Colposcopy of the vulva;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36556", "description": "Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74181", "description": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 227.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEMP TST I&R CERVICAL&OCULAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92519", "description": "VEMP TST I&R CERVICAL&OCULAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, sacral pressure ulcer, with primary suture;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15931", "description": "Excision, sacral pressure ulcer, with primary suture;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Folic acid; serum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82746", "description": "Folic acid; serum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultralightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0005", "description": "Ultralightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3952.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, complete excision; first metatarsal head", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28111", "description": "Ostectomy, complete excision; first metatarsal head", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alpha-1-antitrypsin; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82103", "description": "Alpha-1-antitrypsin; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electron microscopy, diagnostic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88348", "description": "Electron microscopy, diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOARMOR PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4188", "description": "AMNIOARMOR PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphangiography, extremity only, unilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75801", "description": "Lymphangiography, extremity only, unilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctoplasty; for stenosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45500", "description": "Proctoplasty; for stenosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1036.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RESTRATA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2007", "description": "RESTRATA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, fixed height, with any type side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0251", "description": "Hospital bed, fixed height, with any type side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow imaging; whole body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78104", "description": "Bone marrow imaging; whole body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 331.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, perineal radical;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55810", "description": "Prostatectomy, perineal radical;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2031.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of extraperitoneal lymphocele to peritoneal cavity, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49062", "description": "Drainage of extraperitoneal lymphocele to peritoneal cavity, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1340.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, lithium-based battery, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2397", "description": "Power wheelchair accessory, lithium-based battery, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31580", "description": "Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2059.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15275", "description": "SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80402", "description": "ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 130.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21445", "description": "Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 995.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "External counterpulsation, per treatment session", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0166", "description": "External counterpulsation, per treatment session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Muscle, myocutaneous, or fasciocutaneous flap; lower extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15738", "description": "Muscle, myocutaneous, or fasciocutaneous flap; lower extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2052.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33518", "description": "Coronary artery bypass, using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 682.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, bezlotoxumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0565", "description": "Injection, bezlotoxumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28735", "description": "Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1285.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz bath chair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0162", "description": "Sitz bath chair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinal; female, jug-type, any material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0326", "description": "Urinal; female, jug-type, any material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.83, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95806", "description": "Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0038", "description": "Leg strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92081", "description": "VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28090", "description": "Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 513.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90376", "description": "Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chloride; blood", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82435", "description": "Chloride; blood", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2100.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of symblepharon; conjunctivoplasty, without graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68330", "description": "Repair of symblepharon; conjunctivoplasty, without graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF/OP EST MAY X REQ PHY/QHP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99211", "description": "OFF/OP EST MAY X REQ PHY/QHP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Circumcision, using clamp or other device with regional dorsal penile or ring block", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54150", "description": "Circumcision, using clamp or other device with regional dorsal penile or ring block", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of overcorrection of ptosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67909", "description": "Reduction of overcorrection of ptosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 657.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, wrist; with sliding graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25805", "description": "Arthrodesis, wrist; with sliding graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1423.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysterorrhaphy of ruptured uterus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59350", "description": "Hysterorrhaphy of ruptured uterus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 460.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LITT ICR MLT TRJ MLT/CPLX LS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61737", "description": "LITT ICR MLT TRJ MLT/CPLX LS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2581.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11200", "description": "Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81223", "description": "CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 748.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortorenal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35560", "description": "Bypass graft, with vein; aortorenal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2839.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 390.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26863", "description": "ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 341.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG AXILLARY-AXILLARY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35650", "description": "BPG AXILLARY-AXILLARY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1705.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sling or seat, patient lift, canvas or nylon", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0621", "description": "Sling or seat, patient lift, canvas or nylon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2605", "description": "Positioning wheelchair seat cushion, width less than 22 in, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, lesion of palate, uvula; without closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42104", "description": "Excision, lesion of palate, uvula; without closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 215.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition infusion pump, stationary", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9006", "description": "Parenteral nutrition infusion pump, stationary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4200.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ IC INF PBW 2,501-5,000", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99480", "description": "SBSQ IC INF PBW 2,501-5,000", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11047", "description": "DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90656", "description": "Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Delay of flap or sectioning of flap (division and inset); at trunk", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15600", "description": "Delay of flap or sectioning of flap (division and inset); at trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 379.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77071", "description": "Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99485", "description": "SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, knee; complete, 4 or more views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73564", "description": "Radiologic examination, knee; complete, 4 or more views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of mandibular fracture with external fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21454", "description": "Open treatment of mandibular fracture with external fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 786.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myringoplasty (surgery confined to drumhead and donor area)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69620", "description": "Myringoplasty (surgery confined to drumhead and donor area)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 798.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4355", "description": "Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 154.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17000", "description": "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholecystectomy; with cholangiography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47605", "description": "Cholecystectomy; with cholangiography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1936.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26776", "description": "Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 776.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37216", "description": "TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1486.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49452", "description": "Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amylase", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82150", "description": "Amylase", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.72, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33415", "description": "Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3469.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SURGIGRAFT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4183", "description": "SURGIGRAFT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97537", "description": "COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemolysins and agglutinins; incubated", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86941", "description": "Hemolysins and agglutinins; incubated", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of ampulla of Vater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48148", "description": "Excision of ampulla of Vater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2153.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS CERT MCR-COVR HOM HLTH SRVC PER CERT PRD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0180", "description": "PHYS CERT MCR-COVR HOM HLTH SRVC PER CERT PRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INC THROMBOSED HROID XTRNL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46083", "description": "INC THROMBOSED HROID XTRNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 192.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESCHAROTOMY 1ST INCISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16035", "description": "ESCHAROTOMY 1ST INCISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 317.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87482", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Candida species, quantification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free skin flap with microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15757", "description": "Free skin flap with microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3434.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunoassay", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87811", "description": "Infectious agent antigen detection by immunoassay", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.07, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5941.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Morphometric analysis; nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88356", "description": "Morphometric analysis; nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 200.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33746", "description": "Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 675.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28114", "description": "Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal (eg, Clayton type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1405.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50250", "description": "Ablation, open, 1 or more renal mass lesion(s), cryosurgical, including intraoperative ultrasound guidance and monitoring, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1898.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with control of bleeding, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45382", "description": "Colonoscopy, flexible; with control of bleeding, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 392.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95962", "description": "FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 225.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99464", "description": "Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, calaspargase pegol-mknl, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9118", "description": "Injection, calaspargase pegol-mknl, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0954", "description": "Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61540", "description": "Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4011.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0849", "description": "Power wheelchair, group 3 standard, captain's chair, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1404.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CAR-T HRV BLD-DRV T LYMPHCYT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38225", "description": "CAR-T HRV BLD-DRV T LYMPHCYT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 143.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHONE/INTERNET SVS 11-20 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0547", "description": "PHONE/INTERNET SVS 11-20 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97167", "description": "OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Consultation, comprehensive, with review of records and specimens, with report on referred material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88325", "description": "Consultation, comprehensive, with review of records and specimens, with report on referred material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement bulb/lamp for ultraviolet light therapy system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4633", "description": "Replacement bulb/lamp for ultraviolet light therapy system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51992", "description": "Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32554", "description": "Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR TA NDGFT COV LSA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33880", "description": "EVASC RPR TA NDGFT COV LSA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2351.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36908", "description": "STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 321.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81294", "description": "MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of omphalocele (Gross type operation); first stage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49610", "description": "Repair of omphalocele (Gross type operation); first stage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1210.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC IMVT ANGIO CPX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37299", "description": "REVSC EVSC IMVT ANGIO CPX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 403.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 199.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, amifostine, 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0207", "description": "Injection, amifostine, 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1607.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38562", "description": "Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1202.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25400", "description": "Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1318.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21554", "description": "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1226.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2106", "description": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy, emergency procedure; transtracheal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31603", "description": "Tracheostomy, emergency procedure; transtracheal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 496.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of digital nerve, hand or foot; 1 nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64831", "description": "Suture of digital nerve, hand or foot; 1 nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1148.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7774.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciotomy, foot and/or toe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28008", "description": "Fasciotomy, foot and/or toe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 478.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platelet, aggregation (in vitro), each agent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85576", "description": "Platelet, aggregation (in vitro), each agent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX NZM PALMAR FASCIAL CORD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20527", "description": "NJX NZM PALMAR FASCIAL CORD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHYS REV INTEPR & PT MGMT HOME INR MON; 1 A WEEK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0250", "description": "PHYS REV INTEPR & PT MGMT HOME INR MON; 1 A WEEK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy with total ureterectomy and bladder cuff; through same incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50234", "description": "Nephrectomy with total ureterectomy and bladder cuff; through same incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2028.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANRCT MANO RCT SNSATN&BALO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91125", "description": "ANRCT MANO RCT SNSATN&BALO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 169.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0953", "description": "Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortography, abdominal, by serialography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75625", "description": "Aortography, abdominal, by serialography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of collateral ligament, metacarpophalangeal or interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26540", "description": "Repair of collateral ligament, metacarpophalangeal or interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1212.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99366", "description": "TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0496", "description": "Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2702.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, partial, distal; with gastroduodenostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43631", "description": "Gastrectomy, partial, distal; with gastroduodenostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2473.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair nasal septal perforations", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30630", "description": "Repair nasal septal perforations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1075.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31584", "description": "Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2235.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6258", "description": "Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90968", "description": "End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heavy-duty wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0006", "description": "Heavy-duty wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26910", "description": "Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1322.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "JR GNOTYP ABCG2 EXONS 2-26", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0193U", "description": "JR GNOTYP ABCG2 EXONS 2-26", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; splenorenal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35536", "description": "Bypass graft, with vein; splenorenal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2813.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholinesterase; RBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82482", "description": "Cholinesterase; RBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70498", "description": "Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 320.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6244", "description": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor, foot; single tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28220", "description": "Tenolysis, flexor, foot; single tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 500.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43266", "description": "Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81232", "description": "DPYD (dihydropyrimidine dehydrogenase) (eg, 5-fluorouracil/5-FU and capecitabine drug metabolism), gene analysis, common variant(s) (eg, *2A, *4, *5, *6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27357", "description": "Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1376.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Administration of pneumococcal vaccine", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0009", "description": "Administration of pneumococcal vaccine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64681", "description": "Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 331.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DIABETES PREVENTION PROG STANDARDIZED CURRICULUM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0403T", "description": "DIABETES PREVENTION PROG STANDARDIZED CURRICULUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRIN CARE MGMT PHYS 1ST 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99424", "description": "PRIN CARE MGMT PHYS 1ST 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33477", "description": "Transcatheter pulmonary valve implantation, percutaneous approach, including pre-stenting of the valve delivery site, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1997.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 374.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI BARRETT ESOPH 9 PRTN BMRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0108U", "description": "GI BARRETT ESOPH 9 PRTN BMRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7425.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glossectomy; hemiglossectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41130", "description": "Glossectomy; hemiglossectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2093.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode seat, wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0968", "description": "Commode seat, wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DO ID OPT GEN MAPG&SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0267U", "description": "RARE DO ID OPT GEN MAPG&SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10109.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, articulating, spring assisted, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0117", "description": "Crutch, underarm, articulating, spring assisted, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81256", "description": "HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS PTHGN-SNA 10VIR&4BCT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0564U", "description": "NFCT DS PTHGN-SNA 10VIR&4BCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43180", "description": "ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 842.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of meningocele; larger than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63702", "description": "Repair of meningocele; larger than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2707.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44208", "description": "Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3230.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HERED BRST CA RLTD DO GEN SEQ ALYS PNL 17 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0102U", "description": "HERED BRST CA RLTD DO GEN SEQ ALYS PNL 17 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1955.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11623", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ALLODERM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4116", "description": "ALLODERM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0443", "description": "Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Splitting of blood or blood products, each unit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86985", "description": "Splitting of blood or blood products, each unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLUVIRIN)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2037", "description": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLUVIRIN)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Penile venous occlusive procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37790", "description": "Penile venous occlusive procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 773.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation; internal or common carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37605", "description": "Ligation; internal or common carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1236.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access,including all imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36584", "description": "Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access,including all imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Standard size footplate, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0042", "description": "Standard size footplate, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Release or recession, hamstring, proximal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27097", "description": "Release or recession, hamstring, proximal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1156.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2361", "description": "Power wheelchair accessory, 22 NF sealed lead acid battery, each (e.g., gel cell, absorbed glassmat)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colporrhaphy, suture of injury of vagina (nonobstetrical)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57200", "description": "Colporrhaphy, suture of injury of vagina (nonobstetrical)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 543.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25020", "description": "Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1288.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93284", "description": "PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC FPVT ANGIO CPLX EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37266", "description": "RVSC EVSC FPVT ANGIO CPLX EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29851", "description": "ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1547.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone and/or joint imaging; multiple areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78305", "description": "Bone and/or joint imaging; multiple areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADVOGRAFT DUAL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4382", "description": "ADVOGRAFT DUAL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Natriuretic peptide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83880", "description": "Natriuretic peptide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27640", "description": "Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1368.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81403", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of enterocele, vaginal approach (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57268", "description": "Repair of enterocele, vaginal approach (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 810.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy/laryngectomy tube plug/stop, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7527", "description": "Tracheostomy/laryngectomy tube plug/stop, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pleural scarification for repeat pneumothorax", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32215", "description": "Pleural scarification for repeat pneumothorax", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1424.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43195", "description": "Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 279.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD SCIATIC NERVE CONT NFS CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64446", "description": "INJECTION AA&/STRD SCIATIC NERVE CONT NFS CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Rickettsia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86757", "description": "Antibody; Rickettsia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PFAS LC-MS/MS PLSM/SRM QUAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0535U", "description": "PFAS LC-MS/MS PLSM/SRM QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2502", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 8 minutes but less than or equal to 20 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2556.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of; lumbar plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64862", "description": "Suture of; lumbar plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2224.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin test; histoplasmosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86510", "description": "Skin test; histoplasmosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0072", "description": "Front caster assembly, complete, with semipneumatic tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CA VI PSP&SP1 ANTB SJOGREN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0472U", "description": "CA VI PSP&SP1 ANTB SJOGREN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ EFGARTIGIMD AL 2 MG & HYAL-QVFC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9334", "description": "INJ EFGARTIGIMD AL 2 MG & HYAL-QVFC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Travel allowance, one way in connection with medically necessary laboratory specimen collection drawn from homebound or nursing homebound patient; prorated trip charge", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "P9604", "description": "Travel allowance, one way in connection with medically necessary laboratory specimen collection drawn from homebound or nursing homebound patient; prorated trip charge", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11601", "description": "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24149", "description": "Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1951.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulotomy; interphalangeal joint, each joint (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28272", "description": "Capsulotomy; interphalangeal joint, each joint (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 414.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11307", "description": "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROLNG OF/OP E&M BYND RT;EA AD 15 M", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2212", "description": "PROLNG OF/OP E&M BYND RT;EA AD 15 M", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coccygectomy, primary", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27080", "description": "Coccygectomy, primary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 907.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD SI JT PLMT TARTCLR DV", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27279", "description": "ARTHRD SI JT PLMT TARTCLR DV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1366.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37735", "description": "LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 977.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99367", "description": "Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCAPSL CTRC RMVL INSJ 1+", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66991", "description": "XCAPSL CTRC RMVL INSJ 1+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1005.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82107", "description": "Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KLHL11 ANTB SR/CSF ASY QUAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0432U", "description": "KLHL11 ANTB SR/CSF ASY QUAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2202", "description": "Manual wheelchair accessory, nonstandard seat frame width, 24-27 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair with fixed arm, elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1222", "description": "Wheelchair with fixed arm, elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23146", "description": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1070.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of entropion; thermocauterization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67922", "description": "Repair of entropion; thermocauterization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 314.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0044U", "description": "Tick-borne relapsing fever Borrelia group, antibody detection to 4 recombinant protein groups, by immunoblot, IgG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CORETEXT OR PROTEXT PER CC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4246", "description": "CORETEXT OR PROTEXT PER CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4200.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of sternoclavicular dislocation, acute or chronic;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23530", "description": "Open treatment of sternoclavicular dislocation, acute or chronic;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 985.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD HRT TRNSPL MRNA 1283 GEN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0087U", "description": "CRD HRT TRNSPL MRNA 1283 GEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4739.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial hymenectomy or revision of hymenal ring", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56700", "description": "Partial hymenectomy or revision of hymenal ring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 322.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 519.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSAY OF TRANSFERRIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84466", "description": "ASSAY OF TRANSFERRIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5196.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78815", "description": "Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99215", "description": "Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS/PASS SHOULDER DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1841", "description": "SPS/PASS SHOULDER DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 968.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery for automated external defibrillator, garment type only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0607", "description": "Replacement battery for automated external defibrillator, garment type only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43263", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 540.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ureterolithotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50945", "description": "Laparoscopy, surgical; ureterolithotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1512.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of single external papilla or tag, anus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46220", "description": "Excision of single external papilla or tag, anus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6336.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81306", "description": "NUDT15 (nudix hydrolase 15) (eg, drug metabolism) gene analysis, common variant(s) (eg, *2, *3, *4, *5, *6)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32110", "description": "Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2539.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81417", "description": "EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 480.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4595", "description": "Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23145", "description": "Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1179.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93970", "description": "Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fluorescent noninfectious agent antibody; screen, each antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86255", "description": "Fluorescent noninfectious agent antibody; screen, each antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4427", "description": "Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2-piece system), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IN GNOTYP CD44 EXONS 2 3 6", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0191U", "description": "IN GNOTYP CD44 EXONS 2 3 6", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0011U", "description": "RX MNTR DRUGS PRESENT LC-MS/MS ORAL FLUID PR DOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3226.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tonsillectomy, primary or secondary; younger than age 12", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42825", "description": "Tonsillectomy, primary or secondary; younger than age 12", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 428.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Composite dressing, sterile, pad size more than 16 sq in, but less than or equal to 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6204", "description": "Composite dressing, sterile, pad size more than 16 sq in, but less than or equal to 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, wheeled, rigid or folding, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0149", "description": "Walker, heavy-duty, wheeled, rigid or folding, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 245.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, etoposide, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9181", "description": "Injection, etoposide, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 17080.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BCG LIVE INTRAVESICAL INSTILLATION 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9030", "description": "BCG LIVE INTRAVESICAL INSTILLATION 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INDWLL IU D DVC V PT INS REPLC EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4341", "description": "INDWLL IU D DVC V PT INS REPLC EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 521.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of thyroglossal duct cyst or sinus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60280", "description": "Excision of thyroglossal duct cyst or sinus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 724.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable toe extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1830", "description": "Dynamic adjustable toe extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair management (eg, assessment, fitting, training), each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97542", "description": "Wheelchair management (eg, assessment, fitting, training), each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81335", "description": "TPMT (thiopurine S-methyltransferase) (eg, drug metabolism), gene analysis, common variants (eg, *2, *3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 262.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Giardia lamblia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86674", "description": "Antibody; Giardia lamblia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmetacarpal amputation; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25929", "description": "Transmetacarpal amputation; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1026.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21366", "description": "OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2029.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitrectomy, mechanical, pars plana approach;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67036", "description": "Vitrectomy, mechanical, pars plana approach;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1311.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lead", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83655", "description": "Lead", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SARSCOV2 VAC 10 MCG/0.2ML IM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "91323", "description": "SARSCOV2 VAC 10 MCG/0.2ML IM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 285.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ BORTEZOMIB DR REDDYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9046", "description": "INJ BORTEZOMIB DR REDDYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61618", "description": "SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2262.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special base curve, glass or plastic, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2730", "description": "Special base curve, glass or plastic, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CONTINUING MEDICAL PHYSICS CONSLTJ PR WK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77336", "description": "CONTINUING MEDICAL PHYSICS CONSLTJ PR WK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5501", "description": "For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPR GLOVE CUST MED WT EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6579", "description": "GRADIENT COMPR GLOVE CUST MED WT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Variable asphericity lens, bifocal, full field, glass or plastic, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2430", "description": "Variable asphericity lens, bifocal, full field, glass or plastic, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99341", "description": "HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin K", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84597", "description": "Vitamin K", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bioimpedance-derived physiologic cardiovascular analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93701", "description": "Bioimpedance-derived physiologic cardiovascular analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chloramphenicol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82415", "description": "Chloramphenicol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; HIV-1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86701", "description": "Antibody; HIV-1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.34, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of extracranial arteries; complete bilateral study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93880", "description": "Duplex scan of extracranial arteries; complete bilateral study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 271.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of quadriceps or hamstring muscle rupture; primary", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27385", "description": "Suture of quadriceps or hamstring muscle rupture; primary", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1053.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Particle agglutination; screen, each antibody", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86403", "description": "Particle agglutination; screen, each antibody", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76510", "description": "Ophthalmic ultrasound, diagnostic; B-scan and quantitative A-scan performed during the same patient encounter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2219", "description": "Manual wheelchair accessory, foam caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Keratoplasty (corneal transplant); anterior lamellar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65710", "description": "Keratoplasty (corneal transplant); anterior lamellar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1702.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35500", "description": "Harvest of upper extremity vein, 1 segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 525.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20660", "description": "Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 400.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2381", "description": "Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 111.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Induction of arrhythmia by electrical pacing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93618", "description": "Induction of arrhythmia by electrical pacing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 346.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyclosporine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80158", "description": "Cyclosporine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7185", "description": "Injection, factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ciliary body destruction; diathermy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66700", "description": "Ciliary body destruction; diathermy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chloride; other source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82438", "description": "Chloride; other source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION REZAFUNGIN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0349", "description": "INJECTION REZAFUNGIN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of ovarian abscess; abdominal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58822", "description": "Drainage of ovarian abscess; abdominal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1123.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroid autotransplantation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60512", "description": "Parathyroid autotransplantation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 379.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2220", "description": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "89060", "description": "Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53520", "description": "Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 896.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dynamic adjustable finger extension/flexion device, includes soft interface material", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1825", "description": "Dynamic adjustable finger extension/flexion device, includes soft interface material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "UGT1A1 GENE ANALYSIS COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81350", "description": "UGT1A1 GENE ANALYSIS COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombectomy, direct or with catheter; subclavian vein, by neck incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34471", "description": "Thrombectomy, direct or with catheter; subclavian vein, by neck incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1801.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactate (lactic acid)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83605", "description": "Lactate (lactic acid)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2382", "description": "Power wheelchair accessory, tube for pneumatic drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.65, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99474", "description": "SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Strapping; hand or finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29280", "description": "Strapping; hand or finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; nephrectomy with total ureterectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50548", "description": "Laparoscopy, surgical; nephrectomy with total ureterectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2077.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUM EPCNDYLR FX WO MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24560", "description": "CLTX HUM EPCNDYLR FX WO MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 573.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64911", "description": "Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1706.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Saline infusion sonohysterography (SIS), including color flow Doppler, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76831", "description": "Saline infusion sonohysterography (SIS), including color flow Doppler, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23412", "description": "Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1419.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95801", "description": "Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 112.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99421", "description": "ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transrectal drainage of pelvic abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45000", "description": "Transrectal drainage of pelvic abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 735.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, flexor tendon, leg; primary, without graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27658", "description": "Repair, flexor tendon, leg; primary, without graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 630.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NOVOSORB SYNPATH DERML MATRIX SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2006", "description": "NOVOSORB SYNPATH DERML MATRIX SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hysterosalpingography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74740", "description": "Hysterosalpingography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20937", "description": "AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CELLESTA CORD PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4214", "description": "CELLESTA CORD PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75807", "description": "Lymphangiography, pelvic/abdominal, bilateral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 439.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33254", "description": "Operative tissue ablation and reconstruction of atria, limited (eg, modified maze procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2351.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, colpopexy (suspension of vaginal apex)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57425", "description": "Laparoscopy, surgical, colpopexy (suspension of vaginal apex)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1522.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32557", "description": "Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 443.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78012", "description": "Thyroid uptake, single or multiple quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 128.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81269", "description": "HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; duplication/deletion variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23552", "description": "Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1094.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34848", "description": "VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5732.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHY/QHP OP PULM RHB W/MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94626", "description": "PHY/QHP OP PULM RHB W/MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50695", "description": "PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 505.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross and microscopic; infant with brain", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88028", "description": "Necropsy (autopsy), gross and microscopic; infant with brain", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 484.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Car seat/bed testing for airway integrity,for infants through 12 months of age,with continual clinical staff observation and continuous recording of pulse oximetry,heart rate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94780", "description": "Car seat/bed testing for airway integrity,for infants through 12 months of age,with continual clinical staff observation and continuous recording of pulse oximetry,heart rate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92604", "description": "Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, calcitriol, 0.1 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0636", "description": "Injection, calcitriol, 0.1 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of needle or intracatheter, carotid or vertebral artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36100", "description": "Introduction of needle or intracatheter, carotid or vertebral artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95971", "description": "Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling,burst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81235", "description": "EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALINGEN/PALINGEN XPLUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4173", "description": "PALINGEN/PALINGEN XPLUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, adrenal, unilateral, selective, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75840", "description": "Venography, adrenal, unilateral, selective, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair round window fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69667", "description": "Repair round window fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1278.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ACETAMINOPHEN HIKMA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0137", "description": "INJ ACETAMINOPHEN HIKMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSERTION WRLS CAR STIMULATOR LV PACG PG COMPNT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0517T", "description": "INSERTION WRLS CAR STIMULATOR LV PACG PG COMPNT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for elbow arthrography", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24220", "description": "Injection procedure for elbow arthrography", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Renal biopsy; by surgical exposure of kidney", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50205", "description": "Renal biopsy; by surgical exposure of kidney", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1296.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73050", "description": "Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood typing, for paternity testing, per individual; each additional antigen system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86911", "description": "Blood typing, for paternity testing, per individual; each additional antigen system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70542", "description": "Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 343.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94003", "description": "VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUBQ NJX FIL MATRL 5.1-10CC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11952", "description": "SUBQ NJX FIL MATRL 5.1-10CC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with removal of lung (pneumonectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32671", "description": "Thoracoscopy, surgical; with removal of lung (pneumonectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3028.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Anoscopy; with removal of foreign body", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46608", "description": "Anoscopy; with removal of foreign body", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44377", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 451.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43243", "description": "Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 364.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29822", "description": "Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 924.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenolysis, flexor tendon; palm OR finger, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26440", "description": "Tenolysis, flexor tendon; palm OR finger, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1146.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21013", "description": "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 662.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrectomy, partial, distal; with Roux-en-Y reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43633", "description": "Gastrectomy, partial, distal; with Roux-en-Y reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3239.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 371.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21743", "description": "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1719.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of lung, other than pneumonectomy; single lobe (lobectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32480", "description": "Removal of lung, other than pneumonectomy; single lobe (lobectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2554.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of wrist prosthesis; complicated, including total wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25251", "description": "Removal of wrist prosthesis; complicated, including total wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1217.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Special wheelchair seat depth, by upholstery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1297", "description": "Special wheelchair seat depth, by upholstery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, sincalide, 5 mcg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2805", "description": "Injection, sincalide, 5 mcg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 153.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 14148.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27329", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1743.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34832", "description": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bifemoral prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3153.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81273", "description": "KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of malignant tumor of mandible;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21044", "description": "Excision of malignant tumor of mandible;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1347.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24201", "description": "Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 704.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36217", "description": "Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64910", "description": "Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1237.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MUSCLE-SPECIFIC KINASE ANTB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86366", "description": "MUSCLE-SPECIFIC KINASE ANTB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG LW DENS CH FM P/250SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6603", "description": "GD CMP BDG LW DENS CH FM P/250SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44373", "description": "ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TENOTOMY HIP FLEXOR OPEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27005", "description": "TENOTOMY HIP FLEXOR OPEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1207.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemolysin, acid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85475", "description": "Hemolysin, acid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FLEBOGAMMA INJECTION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1572", "description": "FLEBOGAMMA INJECTION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95713", "description": "VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4149", "description": "ENTRAL F MANF BLNDRIZD NAT FOODS W/NUTRIENTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood glucose monitor with integrated lancing/blood sample", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2101", "description": "Blood glucose monitor with integrated lancing/blood sample", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0485T", "description": "Optical coherence tomography (OCT) of middle ear, with interpretation and report; unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL NURSING FACILITY CARE/DAY 45 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99306", "description": "INITIAL NURSING FACILITY CARE/DAY 45 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 277.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 16.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Leg strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0038", "description": "Leg strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.18, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, testosterone undecanoate, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3145", "description": "Injection, testosterone undecanoate, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98967", "description": "NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG COM CRTD-IPSI INT CRTD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35601", "description": "BPG COM CRTD-IPSI INT CRTD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2325.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29900", "description": "Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 886.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0505T", "description": "EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1350.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12013", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oxygen and water vapor enriching system with heated delivery", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1405", "description": "Oxygen and water vapor enriching system with heated delivery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 197.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33414", "description": "Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3645.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ST ATHR CPX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37294", "description": "RVSC EVSC TPVT ST ATHR CPX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1461.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fascia lata graft; by incision and area exposure, complex or sheet", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20922", "description": "Fascia lata graft; by incision and area exposure, complex or sheet", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 847.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SPS/PASS FOREARM DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1818", "description": "SPS/PASS FOREARM DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27400", "description": "Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1183.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2222", "description": "Manual wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93750", "description": "INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2816.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, exam AAA screen", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0389", "description": "Ultrasound, exam AAA screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 158.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR NSL VLV COLLAPSE W/IMPLT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30468", "description": "RPR NSL VLV COLLAPSE W/IMPLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 84.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MatriStem micromatrix, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4118", "description": "MatriStem micromatrix, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "3075F", "description": "Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27310", "description": "Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1236.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 337.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2366", "description": "Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or nonsealed, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; factor XIII (fibrin stabilizing), screen solubility", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85291", "description": "Clotting; factor XIII (fibrin stabilizing), screen solubility", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CROVALIMAB-AKKZ 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1307", "description": "INJ CROVALIMAB-AKKZ 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 780.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTN MYCOPHENOLATE MOFETIL 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7519", "description": "INJECTN MYCOPHENOLATE MOFETIL 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, complex, postoperative wound infection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10180", "description": "Incision and drainage, complex, postoperative wound infection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 316.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B5000", "description": "PARNTRAL NUT SOL; AMINO ACID&CARBS RENL-AMIROSYN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS SURG PRST8ECT SMPL STOT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55867", "description": "LAPS SURG PRST8ECT SMPL STOT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1650.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57220", "description": "Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 553.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pediatric crib, hospital grade, fully enclosed, with or without top enclosure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0300", "description": "Pediatric crib, hospital grade, fully enclosed, with or without top enclosure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 479.87, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lithium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80178", "description": "Lithium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74183", "description": "Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 419.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, methadone HCl, up to 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1230", "description": "Injection, methadone HCl, up to 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Postural drainage board", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0606", "description": "Postural drainage board", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.82, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM TX MGMT EA ADDL 20 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98981", "description": "RTM TX MGMT EA ADDL 20 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAV INF TOCI SECOND DOS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0238", "description": "INTRAV INF TOCI SECOND DOS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2384", "description": "Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bile acids; total", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82239", "description": "Bile acids; total", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AmnioBand, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4168", "description": "AmnioBand, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography, cervical, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72240", "description": "Myelography, cervical, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GYPB GNOTYP NTRNS 1 5 SEUX 3", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0190U", "description": "GYPB GNOTYP NTRNS 1 5 SEUX 3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0111", "description": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exenteration of orbit (does not include skin graft), removal of orbital contents; only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65110", "description": "Exenteration of orbit (does not include skin graft), removal of orbital contents; only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1989.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 194.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Introduction of needle or intracatheter, vein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36000", "description": "Introduction of needle or intracatheter, vein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43763", "description": "Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD PARACERVICAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64435", "description": "INJECTION AA&/STRD PARACERVICAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of trimalleolar ankle fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27816", "description": "Closed treatment of trimalleolar ankle fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 561.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL DEEP DRUG DELIVERY DEVICE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20701", "description": "REMOVAL DEEP DRUG DELIVERY DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19286", "description": "PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, hip, arthrography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73525", "description": "Radiologic examination, hip, arthrography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49000", "description": "Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1323.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin alfa, biosimilar, (retacrit) (for esrd on dialysis), 100 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5105", "description": "Injection, epoetin alfa, biosimilar, (retacrit) (for esrd on dialysis), 100 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0250U", "description": "Oncology (solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic alterations", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94002", "description": "Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, lower extension tube, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0046", "description": "Elevating legrest, lower extension tube, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CONCIZUMAB-MTCI 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7173", "description": "INJ CONCIZUMAB-MTCI 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62380", "description": "NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3078.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC THYR 10 MICRORNA SEQ +/- RSLT MOD HI RSK MAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0018U", "description": "ONC THYR 10 MICRORNA SEQ +/- RSLT MOD HI RSK MAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4503.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45171", "description": "Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1093.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12014", "description": "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2307", "description": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 162.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1753.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; influenza A virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87276", "description": "Infectious agent antigen detection by immunofluorescent technique; influenza A virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17281", "description": "DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CPTRZ OPH IMG PST SG RTA OCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92137", "description": "CPTRZ OPH IMG PST SG RTA OCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE ANALYSIS COMMON VARIANTS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81226", "description": "CYP2D6 GENE ANALYSIS COMMON VARIANTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 676.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87534", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98972", "description": "QNHP ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87280", "description": "Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7318", "description": "Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52354", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 638.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYDROXOCOBALAMIN IM 10 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3425", "description": "HYDROXOCOBALAMIN IM 10 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML C MCHN ASP THRMBC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92973", "description": "PRQ TRLUML C MCHN ASP THRMBC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1604.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32607", "description": "Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86972", "description": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cesarean delivery only;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59514", "description": "Cesarean delivery only;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1535.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67445", "description": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2275.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with vein graft; upper extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35236", "description": "Repair blood vessel with vein graft; upper extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1667.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of urethrovaginal fistula; with bulbocavernosus transplant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57311", "description": "Closure of urethrovaginal fistula; with bulbocavernosus transplant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 881.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Galactose", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82760", "description": "Galactose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BKBENCH PREPJ CADAVER WHOLE LIVER GRF I&IV VII", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47144", "description": "BKBENCH PREPJ CADAVER WHOLE LIVER GRF I&IV VII", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 730.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMG RTA DETC/MNTR DS POC ALY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92229", "description": "IMG RTA DETC/MNTR DS POC ALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO INS TRNSPRSTC IMPLT EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52442", "description": "CYSTO INS TRNSPRSTC IMPLT EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteoplasty, lengthening, metacarpal or phalanx", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26568", "description": "Osteoplasty, lengthening, metacarpal or phalanx", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1632.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AEP SCR AUDITORY POTENTIAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92650", "description": "AEP SCR AUDITORY POTENTIAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28106", "description": "Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or other autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 682.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor of proximal humerus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23150", "description": "Excision or curettage of bone cyst or benign tumor of proximal humerus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1135.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, great toe; interphalangeal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28755", "description": "Arthrodesis, great toe; interphalangeal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 818.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Packing strips, nonimpregnated, sterile, up to 2 in in width, per linear yd", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6407", "description": "Packing strips, nonimpregnated, sterile, up to 2 in in width, per linear yd", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 42.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81362", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); known familial variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRD C HRT DS 9 GEN 12 VRNTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0401U", "description": "CRD C HRT DS 9 GEN 12 VRNTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 734.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Indium In-111 pentetate, diagnostic, per 0.5 millicurie", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A9548", "description": "Indium In-111 pentetate, diagnostic, per 0.5 millicurie", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2271.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37765", "description": "Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; cytomegalovirus (CMV), IgM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86645", "description": "Antibody; cytomegalovirus (CMV), IgM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; pyeloplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50544", "description": "Laparoscopy, surgical; pyeloplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1923.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vestibular nerve section, translabyrinthine approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69915", "description": "Vestibular nerve section, translabyrinthine approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2303.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54050", "description": "Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy; complete, combined abdominoperineal, with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45110", "description": "Proctectomy; complete, combined abdominoperineal, with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2979.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "T cells; absolute CD4 and CD8 count, including ratio", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86360", "description": "T cells; absolute CD4 and CD8 count, including ratio", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelography, lumbosacral, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72265", "description": "Myelography, lumbosacral, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, local; ulcer or benign tumor of stomach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43610", "description": "Excision, local; ulcer or benign tumor of stomach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1677.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ANT THRC VRT BODY TETHRG 8+", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22837", "description": "ANT THRC VRT BODY TETHRG 8+", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2870.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION MARSTACIM HNCQ 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7172", "description": "INJECTION MARSTACIM HNCQ 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, amphotericin B liposome, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0289", "description": "Injection, amphotericin B liposome, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61564", "description": "Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4427.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MATRIDERM PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2027", "description": "MATRIDERM PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 409.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Flexible endoscopic evaluation of swallowing by cine or video recording;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92612", "description": "Flexible endoscopic evaluation of swallowing by cine or video recording;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 90.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45378", "description": "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "53" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NRPSYC GEN SEQ VRNT ALY 13", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0419U", "description": "NRPSYC GEN SEQ VRNT ALY 13", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2004.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, shoulder; complete, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73030", "description": "Radiologic examination, shoulder; complete, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SOLID TUMOR 30 PRTN TRGT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0174U", "description": "ONC SOLID TUMOR 30 PRTN TRGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1958.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88375", "description": "Optical endomicroscopic image(s), interpretation and report, real-time or referred, each endoscopic session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intrinsic factor antibodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86340", "description": "Intrinsic factor antibodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, levocarnitine, per 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1955", "description": "Injection, levocarnitine, per 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44402", "description": "Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 396.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 8", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81407", "description": "MOLECULAR PATHOLOGY PROCEDURE LEVEL 8", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1269.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer iliopsoas; to femoral neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27111", "description": "Transfer iliopsoas; to femoral neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1509.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lenticular lens, per lens, single", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2121", "description": "Lenticular lens, per lens, single", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2387", "description": "Power wheelchair accessory, foam filled caster tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.28, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral nutrition infusion pump, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9002", "description": "Enteral nutrition infusion pump, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 850.2, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NPS SURG DILAT EUST TUBE UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69705", "description": "NPS SURG DILAT EUST TUBE UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, shoulder, surgical; repair of SLAP lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29807", "description": "Arthroscopy, shoulder, surgical; repair of SLAP lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1706.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7511", "description": "Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1447.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhythm ECG, 1-3 leads; tracing only without interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93041", "description": "Rhythm ECG, 1-3 leads; tracing only without interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM GEN PLTLT FUNCJ DO 31", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0277U", "description": "HEM GEN PLTLT FUNCJ DO 31", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 912.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, innerspring", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0271", "description": "Mattress, innerspring", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 210.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal impacted cerumen requiring instrumentation, unilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69210", "description": "Removal impacted cerumen requiring instrumentation, unilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHRNC CARE MGMT STAF EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99439", "description": "CHRNC CARE MGMT STAF EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2611", "description": "General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.31, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 265.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1012.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, salivary gland for calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70380", "description": "Radiologic examination, salivary gland for calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Periodontal mucosal grafting", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41870", "description": "Periodontal mucosal grafting", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51565", "description": "Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2007.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "KLF1 TARGETED SEQUENCING", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0195U", "description": "KLF1 TARGETED SEQUENCING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNICORE PRO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4298", "description": "AMNICORE PRO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cochlear device implantation, with or without mastoidectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69930", "description": "Cochlear device implantation, with or without mastoidectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1866.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision (eg, osteomyelitis or bone abscess), leg or ankle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27607", "description": "Incision (eg, osteomyelitis or bone abscess), leg or ankle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross examination only; without CNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88000", "description": "Necropsy (autopsy), gross examination only; without CNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 526.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88307", "description": "LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 360.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52343", "description": "Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 527.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95811", "description": "POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1046.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2103", "description": "NONADJUNCTIVE NONIMPLANTED CGM/RECV", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheal suction catheter, closed system, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4605", "description": "Tracheal suction catheter, closed system, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78808", "description": "Injection procedure for radiopharmaceutical localization by non-imaging probe study, intravenous (eg, parathyroid adenoma)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AIRWAY RESISTANCE BY OSCILLOMETRY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94728", "description": "AIRWAY RESISTANCE BY OSCILLOMETRY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0955", "description": "Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.03, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50075", "description": "Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2260.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV RNA VAG FLU ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81513", "description": "NFCT DS BV RNA VAG FLU ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 213.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2087", "description": "OFF-BASED TX OUD; AL 60 MIN SUBSEQ CALENDAR MO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 582.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; aortofemoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35539", "description": "Bypass graft, with vein; aortofemoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3645.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, lesion of palate, uvula; with simple primary closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42106", "description": "Excision, lesion of palate, uvula; with simple primary closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62321", "description": "NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection of pulmonary artery with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33922", "description": "Transection of pulmonary artery with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2408.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG SUBCLAVIAN-VERTEBRAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35645", "description": "BPG SUBCLAVIAN-VERTEBRAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1583.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION VANCOMYCIN HCL 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3373", "description": "INJECTION VANCOMYCIN HCL 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cam release assembly, footrest or legrest, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0051", "description": "Cam release assembly, footrest or legrest, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of depressed malar fracture, including zygomatic arch and malar tripod", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21360", "description": "Open treatment of depressed malar fracture, including zygomatic arch and malar tripod", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 826.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPRESS GRMNT TOE CAPS EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6572", "description": "GRADIENT COMPRESS GRMNT TOE CAPS EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25274", "description": "Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each tendon or muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1098.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33227", "description": "Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 546.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CHRNC CARE MGMT PHYS 1ST 30", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99491", "description": "CHRNC CARE MGMT PHYS 1ST 30", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 110.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3237.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Apnea monitor, without recording feature", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0618", "description": "Apnea monitor, without recording feature", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 599.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75559", "description": "Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 437.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24342", "description": "Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1281.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 519.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR 65 COM DRUGS LC-MS/MS UR DETC/NOT DETC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0093U", "description": "RX MNTR 65 COM DRUGS LC-MS/MS UR DETC/NOT DETC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, shoulder area; multiple tendons through same incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23406", "description": "Tenotomy, shoulder area; multiple tendons through same incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1184.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ovarian cystectomy, unilateral or bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58925", "description": "Ovarian cystectomy, unilateral or bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1249.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML REVSC CAB GRF 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92937", "description": "PRQ TRLUML REVSC CAB GRF 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 951.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of acromioclavicular dislocation, acute or chronic;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23550", "description": "Open treatment of acromioclavicular dislocation, acute or chronic;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 966.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, cylinder tank carrier, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2208", "description": "Wheelchair accessory, cylinder tank carrier, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 126.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable, for use on faceplate, plastic, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4377", "description": "Ostomy pouch, drainable, for use on faceplate, plastic, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental gradient pressure pneumatic appliance, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0672", "description": "Segmental gradient pressure pneumatic appliance, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 517.44, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0116", "description": "Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PFAS 16 PFAS COMPND LC MS/MS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0394U", "description": "PFAS 16 PFAS COMPND LC MS/MS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of sciatic nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64858", "description": "Suture of sciatic nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1912.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NDSC URETEROTOMY RMVL FB/CALCULUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50980", "description": "NDSC URETEROTOMY RMVL FB/CALCULUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 543.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 902.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasal septal fracture, with or without stabilization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21336", "description": "Open treatment of nasal septal fracture, with or without stabilization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1031.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of contact lens", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92326", "description": "Replacement of contact lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dural graft, spinal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63710", "description": "Dural graft, spinal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1927.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41530", "description": "Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 639.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61544", "description": "Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3504.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhytidectomy; cheek, chin, and neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15828", "description": "Rhytidectomy; cheek, chin, and neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5618.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; for use on barrier with flange (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5073", "description": "Ostomy pouch, urinary; for use on barrier with flange (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, muscle, percutaneous needle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20206", "description": "Biopsy, muscle, percutaneous needle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2627", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable Rancho type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1327.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35702", "description": "EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 675.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50435", "description": "EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 152.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mycophenolate mofetil, oral, 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7517", "description": "Mycophenolate mofetil, oral, 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2506", "description": "Speech generating device, digitized speech, using prerecorded messages, greater than 40 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 494.42, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23615", "description": "Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1477.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fixed, adjustable height armrest, pair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0020", "description": "Fixed, adjustable height armrest, pair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin piercing device for collection of capillary blood, laser, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0620", "description": "Skin piercing device for collection of capillary blood, laser, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93459", "description": "CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1360.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ GEMCITABIN AVYXA 200MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9184", "description": "INJ GEMCITABIN AVYXA 200MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 580.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92627", "description": "EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation through wrist; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25924", "description": "Disarticulation through wrist; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1223.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Frenoplasty (surgical revision of frenum, eg, with Z-plasty)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41520", "description": "Frenoplasty (surgical revision of frenum, eg, with Z-plasty)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 407.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, propranolol HCl, up to 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1800", "description": "Injection, propranolol HCl, up to 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin barrier, wipes or swabs, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5120", "description": "Skin barrier, wipes or swabs, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEP NASH MIR-34A5P +æ2M YKL40", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0468U", "description": "HEP NASH MIR-34A5P +æ2M YKL40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 377.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam filled caster tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2217", "description": "Manual wheelchair accessory, foam filled caster tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97168", "description": "OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 116.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15773", "description": "GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 805.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DENOSUMAB-BNHT 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5158", "description": "INJ DENOSUMAB-BNHT 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2371", "description": "Power wheelchair accessory, group 27 sealed lead acid battery, (e.g., gel cell, absorbed glassmat), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of spermatocele, with or without epididymectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54840", "description": "Excision of spermatocele, with or without epididymectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 522.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MIRRAGEN ADVANCE WOUND MATRIX SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2002", "description": "MIRRAGEN ADVANCE WOUND MATRIX SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dry pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0184", "description": "Dry pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 215.7, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95874", "description": "Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of arthroplasty, including removal of implant, wrist joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25449", "description": "Revision of arthroplasty, including removal of implant, wrist joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1665.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1831", "description": "Static progressive stretch toe device, extension and/or flexion, with or without range of motion adjustment, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 135.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0005U", "description": "Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glycated protein", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82985", "description": "Glycated protein", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 178.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal fibula or shaft fracture; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27780", "description": "Closed treatment of proximal fibula or shaft fracture; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 532.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78494", "description": "Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 280.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lactoferrin, fecal; qualitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83630", "description": "Lactoferrin, fecal; qualitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone marrow imaging; limited area", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78102", "description": "Bone marrow imaging; limited area", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95982", "description": "ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration with removal of deep foreign body, forearm or wrist", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25248", "description": "Exploration with removal of deep foreign body, forearm or wrist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 732.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0037U", "description": "TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5250.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with partial pulmonary decortication", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32651", "description": "Thoracoscopy, surgical; with partial pulmonary decortication", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1892.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLTJ IRE PRST8 1+ TUM PERQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55877", "description": "ABLTJ IRE PRST8 1+ TUM PERQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACETEC &FORAMOT EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63048", "description": "LAM FACETEC &FORAMOT EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 349.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN&CHAR C ATHROSCLRTC PLAQ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75577", "description": "QUAN&CHAR C ATHROSCLRTC PLAQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1731.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterolysis (freeing of intestinal adhesion) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44005", "description": "Enterolysis (freeing of intestinal adhesion) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1859.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG W/O PRGRMG IPNSS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93153", "description": "INTERROG W/O PRGRMG IPNSS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, synojoynt, for intraarticular injection, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7331", "description": "Hyaluronan or derivative, synojoynt, for intraarticular injection, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D ABSC TRANAL UNDER ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46045", "description": "I D ABSC TRANAL UNDER ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 804.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28103", "description": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 622.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1271.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44372", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair choanal atresia; intranasal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30540", "description": "Repair choanal atresia; intranasal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1189.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26541", "description": "Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial graft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1427.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26040", "description": "Fasciotomy, palmar (eg, Dupuytren's contracture); percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of infected graft; neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35901", "description": "Excision of infected graft; neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 801.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95869", "description": "Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of torus mandibularis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21031", "description": "Excision of torus mandibularis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 445.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of halo, including removal; femoral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20663", "description": "Application of halo, including removal; femoral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 834.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0813", "description": "Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.02, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extremity belt/harness", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0945", "description": "Extremity belt/harness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, arsenic trioxide, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9017", "description": "Injection, arsenic trioxide, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Complement fixation tests, each antigen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86171", "description": "Complement fixation tests, each antigen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of sternoclavicular dislocation; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23520", "description": "Closed treatment of sternoclavicular dislocation; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 441.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion, sclera", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66130", "description": "Excision of lesion, sclera", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 823.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, cytarabine, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9100", "description": "Injection, cytarabine, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MOPATH PROCEDURE LEVEL 6", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81405", "description": "MOPATH PROCEDURE LEVEL 6", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 452.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36901", "description": "INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3083.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2542.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of embedded foreign body, vestibule of mouth; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40804", "description": "Removal of embedded foreign body, vestibule of mouth; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MIRODRY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2031", "description": "MIRODRY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Peritoneal lavage, including imaging guidance, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49084", "description": "Peritoneal lavage, including imaging guidance, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of acute shoulder dislocation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23660", "description": "Open treatment of acute shoulder dislocation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 985.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, secondary; minor revision (small amount of nasal tip work)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30430", "description": "Rhinoplasty, secondary; minor revision (small amount of nasal tip work)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1895.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRS AID PCL RPR/AGMNTJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29889", "description": "ARTHRS AID PCL RPR/AGMNTJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2033.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Treponema pallidum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86780", "description": "Antibody; Treponema pallidum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HELICOLL PER SQUARE CENTIMETER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4164", "description": "HELICOLL PER SQUARE CENTIMETER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2342", "description": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 718.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, olaratumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9285", "description": "Injection, olaratumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81121", "description": "IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 443.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61580", "description": "Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, without maxillectomy or orbital exenteration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3980.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMCHOTHICK PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4368", "description": "AMCHOTHICK PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of palmar bursa; multiple bursa", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26030", "description": "Drainage of palmar bursa; multiple bursa", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 832.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27513", "description": "Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1989.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45172", "description": "Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1415.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97761", "description": "Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTERROG&PRGRMG IPNSS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93151", "description": "INTERROG&PRGRMG IPNSS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of tendon, forearm and/or wrist, flexor or extensor, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25109", "description": "Excision of tendon, forearm and/or wrist, flexor or extensor, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 903.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scratch resistant coating, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2760", "description": "Scratch resistant coating, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on penis to correct angulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54360", "description": "Plastic operation on penis to correct angulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ferric carboxymaltose, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1439", "description": "Injection, ferric carboxymaltose, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEUM SEQ COMPRES GRMNT FULL ARM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0682", "description": "NONPNEUM SEQ COMPRES GRMNT FULL ARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2252.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; bacterium, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86609", "description": "Antibody; bacterium, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, laceration of palate; over 2 cm or complex", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42182", "description": "Repair, laceration of palate; over 2 cm or complex", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 400.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate; major revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42215", "description": "Palatoplasty for cleft palate; major revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1157.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision (including removal) of prosthetic vaginal graft; vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57295", "description": "Revision (including removal) of prosthetic vaginal graft; vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bulbourethral gland (Cowper's gland)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53250", "description": "Excision of bulbourethral gland (Cowper's gland)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 642.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43300", "description": "Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 971.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11400", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 134.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66820", "description": "Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 736.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, temporomandibular joint, with allograft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21242", "description": "Arthroplasty, temporomandibular joint, with allograft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1626.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95715", "description": "VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1479.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67220", "description": "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photocoagulation (eg, laser), 1 or more sessions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 740.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DLY HOSP MGMT EDRL RX ADMIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "01996", "description": "DLY HOSP MGMT EDRL RX ADMIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81287", "description": "MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50580", "description": "RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 922.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36570", "description": "Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 581.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Levetiracetam", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80177", "description": "Levetiracetam", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57455", "description": "Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, chorionic gonadotropin, per 1,000 USP units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0725", "description": "Injection, chorionic gonadotropin, per 1,000 USP units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyperthermia generated by intracavitary probe(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77620", "description": "Hyperthermia generated by intracavitary probe(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enlargement of ocular prosthesis", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2625", "description": "Enlargement of ocular prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 679.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exploration for undescended testis (inguinal or scrotal area)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54550", "description": "Exploration for undescended testis (inguinal or scrotal area)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 789.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gauze, nonimpregnated, sterile, pad size more than 16 sq in, less than or equal to 48 sq in, without adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6403", "description": "Gauze, nonimpregnated, sterile, pad size more than 16 sq in, less than or equal to 48 sq in, without adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN PLANTAR DIGITAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64726", "description": "DCMPRN PLANTAR DIGITAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 448.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body or dacryolith, lacrimal passages", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "68530", "description": "Removal of foreign body or dacryolith, lacrimal passages", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 366.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2253.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65757", "description": "Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, handgrip, cane, crutch, or walker, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4636", "description": "Replacement, handgrip, cane, crutch, or walker, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0694", "description": "Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer, and eye protection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9464.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAFTJACKET XPRESS, injectable, 1cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4113", "description": "GRAFTJACKET XPRESS, injectable, 1cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1301.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87486", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0978", "description": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 43.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMACYTE AC MATRX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4343", "description": "DERMACYTE AC MATRX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81377", "description": "HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 624.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision aural glomus tumor; transcanal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69550", "description": "Excision aural glomus tumor; transcanal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1730.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRATTICE PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4130", "description": "STRATTICE PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ratchet assembly, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0050", "description": "Ratchet assembly, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX TALUS FRACTURE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28445", "description": "OPTX TALUS FRACTURE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1738.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH RNA PRETRNSPL PERPH BLD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0319U", "description": "NEPH RNA PRETRNSPL PERPH BLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3975.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64714", "description": "Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1292.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3486.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of hydrocele; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55041", "description": "Excision of hydrocele; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 824.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical excision external auditory canal lesion; with neck dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69155", "description": "Radical excision external auditory canal lesion; with neck dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2521.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation, finger joint, under anesthesia, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26340", "description": "Manipulation, finger joint, under anesthesia, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 651.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; ablation of renal cysts", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50541", "description": "Laparoscopy, surgical; ablation of renal cysts", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1433.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88302", "description": "LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endolymphatic sac operation; without shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69805", "description": "Endolymphatic sac operation; without shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1597.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST > 10 NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49596", "description": "RPR AA HRN 1ST > 10 NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1714.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81283", "description": "IFNL3 (interferon, lambda 3) (eg, drug response), gene analysis, rs12979860 variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.16, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37243", "description": "VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 832.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, teeth; single view", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70300", "description": "Radiologic examination, teeth; single view", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33781", "description": "Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, Jatene type); with repair of subpulmonic obstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3883.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27808", "description": "Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AR GENE ANALYSIS CHARACTERIZATION OF ALLELES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81204", "description": "AR GENE ANALYSIS CHARACTERIZATION OF ALLELES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, carmustine, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9050", "description": "Injection, carmustine, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27057", "description": "DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1654.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 644.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAPULM SURFACTANT ADMN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94610", "description": "INTRAPULM SURFACTANT ADMN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, splenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38120", "description": "Laparoscopy, surgical, splenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1818.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRI MEMBRANE WRAP PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4344", "description": "TRI MEMBRANE WRAP PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ablation, open, of 1 or more liver tumor(s); radiofrequency", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47380", "description": "Ablation, open, of 1 or more liver tumor(s); radiofrequency", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2443.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81375", "description": "HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 331.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fully-reclining wheelchair, detachable arms, desk or full-length, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1060", "description": "Fully-reclining wheelchair, detachable arms, desk or full-length, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.71, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 45.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Free osteocutaneous flap with microvascular anastomosis; great toe with web space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20973", "description": "Free osteocutaneous flap with microvascular anastomosis; great toe with web space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4804.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78707", "description": "Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 297.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11440", "description": "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EXCISION 1ST /CERVICAL RIB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21615", "description": "EXCISION 1ST /CERVICAL RIB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1060.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ratchet assembly, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0050", "description": "Ratchet assembly, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.54, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Decompression facial nerve, intratemporal; including medial to geniculate ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69725", "description": "Decompression facial nerve, intratemporal; including medial to geniculate ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2862.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS DNA UNTRGT NGNRJ SEQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0152U", "description": "NFCT DS DNA UNTRGT NGNRJ SEQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3189.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctosigmoidoscopy, rigid; with decompression of volvulus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45321", "description": "Proctosigmoidoscopy, rigid; with decompression of volvulus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87535", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis C antibody screening for individual at high risk and other covered indication(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0472", "description": "Hepatitis C antibody screening for individual at high risk and other covered indication(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GROUP TRAIN W/O PATIENT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0543", "description": "GROUP TRAIN W/O PATIENT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1036", "description": "Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1566.08, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80051", "description": "Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61796", "description": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1911.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERMEADERM C PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2018", "description": "PERMEADERM C PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0303", "description": "Hospital bed, heavy-duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.1, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ANIFROLUMAB-FNIA 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0491", "description": "INJECTION ANIFROLUMAB-FNIA 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87164", "description": "Dark field examination, any source (eg, penile, vaginal, oral, skin); includes specimen collection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7504", "description": "Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7489.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 97.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2231", "description": "Manual wheelchair accessory, solid seat support base (replaces sling seat), includes any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.79, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61322", "description": "CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4369.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 73.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, upper extremity; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73200", "description": "Computed tomography, upper extremity; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67332", "description": "STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52332", "description": "Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 243.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0063U", "description": "Neurology (autism), 32 amines by LC-MS/MS, using plasma, algorithm reported as metabolic signature associated with autism spectrum disorder", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88175", "description": "CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43754", "description": "Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ACETAMINOPHEN -FRESENIUS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0134", "description": "INJ ACETAMINOPHEN -FRESENIUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2542.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rocking bed, with or without side rails", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0462", "description": "Rocking bed, with or without side rails", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 529.52, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniotomy with elevation of bone flap; for excision of craniopharyngioma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61545", "description": "Craniotomy with elevation of bone flap; for excision of craniopharyngioma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5828.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compound", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95070", "description": "Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compound", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22515", "description": "PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOVNC TRI-LYR/BIOVNC 3L PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4283", "description": "BIOVNC TRI-LYR/BIOVNC 3L PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0668", "description": "Segmental pneumatic appliance for use with pneumatic compressor, full arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.25, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43332", "description": "Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1965.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of vaginal mucosa; simple (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57100", "description": "Biopsy of vaginal mucosa; simple (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; subclavian-vertebral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35515", "description": "Bypass graft, with vein; subclavian-vertebral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2217.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2751.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tandem cuff (dual cuff)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53444", "description": "Insertion of tandem cuff (dual cuff)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1250.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81370", "description": "HLA Class I and II typing, low resolution (eg, antigen equivalents); HLA-A, -B, -C, -DRB1/3/4/5, and -DQB1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 603.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADMN RSV MONOC ANTB IM CNSL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96380", "description": "ADMN RSV MONOC ANTB IM CNSL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1561", "description": "Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FETAL CONGENITAL ABNOR ASSAY FIVE ANAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81512", "description": "FETAL CONGENITAL ABNOR ASSAY FIVE ANAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ PHRNC NRV STIM TRANSVNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33277", "description": "INSJ PHRNC NRV STIM TRANSVNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 465.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26756", "description": "Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 740.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24371", "description": "Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2814.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77435", "description": "Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1102.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0056", "description": "Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 163.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, taliglucerace alfa, 10 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3060", "description": "Injection, taliglucerace alfa, 10 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lamotrigine", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80175", "description": "Lamotrigine", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ SKELETAL FIXJ FEMORAL FX DISTAL END", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27509", "description": "PRQ SKELETAL FIXJ FEMORAL FX DISTAL END", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1169.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88142", "description": "Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arsenic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82175", "description": "Arsenic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech audiometry threshold;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92555", "description": "Speech audiometry threshold;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87521", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27429", "description": "Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2105.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, foscarnet sodium, per 1,000 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1455", "description": "Injection, foscarnet sodium, per 1,000 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; tetanus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86774", "description": "Antibody; tetanus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62350", "description": "IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 675.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electroencephalogram (EEG); including recording awake and asleep", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95819", "description": "Electroencephalogram (EEG); including recording awake and asleep", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 760.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage abscess or hematoma, nasal septum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30020", "description": "Drainage abscess or hematoma, nasal septum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with arytenoidectomy;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31560", "description": "Laryngoscopy, direct, operative, with arytenoidectomy;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 463.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25680", "description": "Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 931.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mepolizumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2182", "description": "Injection, mepolizumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17286", "description": "DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 388.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rolapitant, oral, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J8670", "description": "Rolapitant, oral, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43313", "description": "Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4959.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73223", "description": "Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 506.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT COMPRESSION GAUNTLET EACH", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6582", "description": "GRADIENT COMPRESSION GAUNTLET EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26432", "description": "Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 969.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54336", "description": "1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1857.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic bone marrow; biopsy(ies)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38221", "description": "Diagnostic bone marrow; biopsy(ies)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36590", "description": "Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 306.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30410", "description": "Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2414.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cyanocobalamin (Vitamin B-12); unsaturated binding capacity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82608", "description": "Cyanocobalamin (Vitamin B-12); unsaturated binding capacity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Division of scalenus anticus; without resection of cervical rib", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21700", "description": "Division of scalenus anticus; without resection of cervical rib", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 606.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, body cast adult, with or without head, fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4002", "description": "Cast supplies, body cast adult, with or without head, fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 353.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHOENIX WOUND MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2015", "description": "PHOENIX WOUND MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17280", "description": "DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; sternum, minimum of 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "71120", "description": "Radiologic examination; sternum, minimum of 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC RSPSE CHEMO CNTRST TOMOG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0083U", "description": "ONC RSPSE CHEMO CNTRST TOMOG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 251.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49423", "description": "Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epidural, of blood or clot patch", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62273", "description": "Injection, epidural, of blood or clot patch", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58552", "description": "Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1562.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERQ P-ART REVSC 1 NM NT BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33901", "description": "PERQ P-ART REVSC 1 NM NT BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1224.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33366", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2548.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87209", "description": "Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial laryngectomy (hemilaryngectomy); anterovertical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31380", "description": "Partial laryngectomy (hemilaryngectomy); anterovertical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3003.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33244", "description": "Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1389.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2390", "description": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostate cancer screening; prostate specific antigen test (PSA)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0103", "description": "Prostate cancer screening; prostate specific antigen test (PSA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BACT&FNG ORG ID BLD CUL RRNA FISH 6+TRGT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0086U", "description": "NFCT DS BACT&FNG ORG ID BLD CUL RRNA FISH 6+TRGT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 300.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87538", "description": "Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or avulsion of; inferior alveolar nerve by osteotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64738", "description": "Transection or avulsion of; inferior alveolar nerve by osteotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 733.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0023U", "description": "ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 372.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair fistula; oronasal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30600", "description": "Repair fistula; oronasal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 678.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with optical endomicroscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43206", "description": "Esophagoscopy, flexible, transoral; with optical endomicroscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 205.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN RCR < 3 RDC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49613", "description": "RPR AA HRN RCR < 3 RDC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 707.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterectomy, resection of small intestine; with enterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44125", "description": "Enterectomy, resection of small intestine; with enterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1992.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of tarsometatarsal joint dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28600", "description": "Closed treatment of tarsometatarsal joint dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 275.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1084", "description": "Hemi-wheelchair, detachable arms desk or full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 196.97, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, rasburicase, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2783", "description": "Injection, rasburicase, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 540.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24136", "description": "Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1078.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colorectal cancer screening; flexible sigmoidoscopy", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0104", "description": "Colorectal cancer screening; flexible sigmoidoscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High frequency chest wall oscillation system vest, replacement for use with patient-owned equipment, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7025", "description": "High frequency chest wall oscillation system vest, replacement for use with patient-owned equipment, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.99, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography guidance for stereotactic localization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77011", "description": "Computed tomography guidance for stereotactic localization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 288.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1007", "description": "Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1497.32, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 290.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92570", "description": "Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extremity belt/harness", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0945", "description": "Extremity belt/harness", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vaginal hysterectomy, for uterus greater than 250 g;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58290", "description": "Vaginal hysterectomy, for uterus greater than 250 g;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1795.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58210", "description": "RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3022.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gradient compression stocking, full-length/chap style, 30-40 mm Hg, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6537", "description": "Gradient compression stocking, full-length/chap style, 30-40 mm Hg, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TOCILIZUMAB-AAZG HOSPI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0238", "description": "INJ TOCILIZUMAB-AAZG HOSPI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, short arm splint, pediatric (0-10 years), fiberglass", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4024", "description": "Cast supplies, short arm splint, pediatric (0-10 years), fiberglass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28100", "description": "Excision or curettage of bone cyst or benign tumor, talus or calcaneus;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 713.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11643", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 338.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27185", "description": "Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1215.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT PERM OCCLS/EMBOLJ CNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61624", "description": "TCAT PERM OCCLS/EMBOLJ CNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1954.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long leg splint, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4041", "description": "Cast supplies, long leg splint, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ANGIO CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37282", "description": "RVSC EVSC TPVT ANGIO CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1021.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58800", "description": "Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 500.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47544", "description": "REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION DAP NOT TE TO J0878 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0874", "description": "INJECTION DAP NOT TE TO J0878 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 444.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infusion or instillation of radioelement solution (includes 3-month follow-up care)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77750", "description": "Infusion or instillation of radioelement solution (includes 3-month follow-up care)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67420", "description": "Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2617.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrolithotomy; complicated by congenital kidney abnormality", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50070", "description": "Nephrolithotomy; complicated by congenital kidney abnormality", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1844.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4152", "description": "ENTRAL F NUTRITION CMPL CAL DENSE INTACT NUTRNTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35884", "description": "Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2065.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78473", "description": "CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 356.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Topiramate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80201", "description": "Topiramate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 909.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52281", "description": "CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Procainamide; with metabolites (eg, n-acetyl procainamide)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80192", "description": "Procainamide; with metabolites (eg, n-acetyl procainamide)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0516", "description": "Insertion of non-biodegradable drug delivery implants, 4 or more (services for subdermal rod implant)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 145.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11403", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of foreign body in scrotum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55120", "description": "Removal of foreign body in scrotum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 579.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26420", "description": "Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1281.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "10010", "description": "Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 114.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fat or lipids, feces; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82710", "description": "Fat or lipids, feces; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28020", "description": "Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 618.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "STREP A ASSAY W/OPTIC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87880", "description": "STREP A ASSAY W/OPTIC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20526", "description": "Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20690", "description": "Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 977.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75572", "description": "CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gonadotropin; follicle stimulating hormone (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83001", "description": "Gonadotropin; follicle stimulating hormone (FSH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2218", "description": "Manual wheelchair accessory, foam propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.86, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Myelin basic protein, cerebrospinal fluid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83873", "description": "Myelin basic protein, cerebrospinal fluid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NATALIN PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4396", "description": "NATALIN PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9967", "description": "Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin test; candida", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86485", "description": "Skin test; candida", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy irrigation set", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4400", "description": "Ostomy irrigation set", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0957", "description": "Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.94, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3859.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRNSPLJ MED QUAN DD-CFDNA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0540U", "description": "TRNSPLJ MED QUAN DD-CFDNA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4129.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer device, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0705", "description": "Transfer device, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ROPRTJ > 1 MO AFTER ORIGINAL OPRATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35700", "description": "ROPRTJ > 1 MO AFTER ORIGINAL OPRATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 250.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45393", "description": "Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 379.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15650", "description": "Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 682.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, chloramphenicol sodium succinate, up to 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0720", "description": "Injection, chloramphenicol sodium succinate, up to 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47711", "description": "Excision of bile duct tumor, with or without primary repair of bile duct; extrahepatic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2634.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis Be antibody (HBeAb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86707", "description": "Hepatitis Be antibody (HBeAb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6203", "description": "Composite dressing, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86834", "description": "Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, Flow cytometry); semi-quantitative panel (eg, titer), HLA Class I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93926", "description": "Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TX CLSD ELBOW DISLC W/O ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24600", "description": "TX CLSD ELBOW DISLC W/O ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 724.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, internal auditory meati, complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70134", "description": "Radiologic examination, internal auditory meati, complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 79.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implanted material, posterior segment; intraocular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67121", "description": "Removal of implanted material, posterior segment; intraocular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1320.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD ANT NTRBDY CERVICAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22551", "description": "ARTHRD ANT NTRBDY CERVICAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2985.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX 1 TENDON ORIGIN/INSJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20551", "description": "NJX 1 TENDON ORIGIN/INSJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 57.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82941", "description": "Gastrin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 26.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy of penis; deep structures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54105", "description": "Biopsy of penis; deep structures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 341.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 617.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, maxillofacial area; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70487", "description": "Computed tomography, maxillofacial area; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Platelet survival study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78191", "description": "Platelet survival study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 3248.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC HL NEO DNA TGS 417 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0592U", "description": "ONC HL NEO DNA TGS 417 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4379.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1770.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93642", "description": "EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis, wrist; with autograft (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25825", "description": "Arthrodesis, wrist; with autograft (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1327.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87252", "description": "Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic apheresis; for plasma pheresis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36514", "description": "Therapeutic apheresis; for plasma pheresis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87254", "description": "Virus isolation; centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel, direct; hand, finger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35207", "description": "Repair blood vessel, direct; hand, finger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1220.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0566T", "description": "AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 180.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anal fistula with fibrin glue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46706", "description": "Repair of anal fistula with fibrin glue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51065", "description": "Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagoscopy, flexible, transoral; with control of bleeding, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43227", "description": "Esophagoscopy, flexible, transoral; with control of bleeding, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 256.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50540", "description": "Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1788.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87800", "description": "Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; direct probe(s) technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2613", "description": "Positioning wheelchair back cushion, posterior, width less than 22 in, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93307", "description": "ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93291", "description": "Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positron emission tomography (PET) imaging; skull base to mid-thigh", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78812", "description": "Positron emission tomography (PET) imaging; skull base to mid-thigh", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2605.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPLTJ OI IMPLT SKL PERQ ESP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69714", "description": "IMPLTJ OI IMPLT SKL PERQ ESP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 771.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tobramycin sulfate, up to 80 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3260", "description": "Injection, tobramycin sulfate, up to 80 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of breast implant on separate day from mastectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19342", "description": "Insertion or replacement of breast implant on separate day from mastectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1238.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgery of intracranial arteriovenous malformation; infratentorial, simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61684", "description": "Surgery of intracranial arteriovenous malformation; infratentorial, simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5190.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, flexor tendon, leg; secondary, with or without graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27659", "description": "Repair, flexor tendon, leg; secondary, with or without graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 786.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADD 20 M OF MONTHLY TX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0554", "description": "ADD 20 M OF MONTHLY TX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83037", "description": "Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4419", "description": "Ostomy pouch, closed; for use on barrier with nonlocking flange, with filter (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, nasal bones, complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70160", "description": "Radiologic examination, nasal bones, complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spleen imaging only, with or without vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78185", "description": "Spleen imaging only, with or without vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, power seating system, recline only, with mechanical shear reduction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1004", "description": "Wheelchair accessory, power seating system, recline only, with mechanical shear reduction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 894.33, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15116", "description": "EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 222.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Azathioprine, oral, 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7500", "description": "Azathioprine, oral, 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, wrist; complete, minimum of 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73110", "description": "Radiologic examination, wrist; complete, minimum of 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; hemidiaphragm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95866", "description": "Needle electromyography; hemidiaphragm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2398", "description": "WHEELCHAIR ACCESSORY DYNAMIC POS HARDWARE BACK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, upper portion, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0018", "description": "Detachable, adjustable height armrest, upper portion, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.01, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44626", "description": "Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2635.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Protein, total, by refractometry, any source", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84160", "description": "Protein, total, by refractometry, any source", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of thigh or knee area; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27323", "description": "Biopsy, soft tissue of thigh or knee area; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 276.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21026", "description": "Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 727.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54160", "description": "Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 231.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87660", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 30.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrophoretic technique, not elsewhere specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82664", "description": "Electrophoretic technique, not elsewhere specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 92.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, adductor to ischium", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27098", "description": "Transfer, adductor to ischium", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1181.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25275", "description": "Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor carpi ulnaris subluxation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2213", "description": "Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96167", "description": "HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36466", "description": "NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37606", "description": "Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1421.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33207", "description": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 764.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of volvulus, intussusception, internal hernia, by laparotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44050", "description": "Reduction of volvulus, intussusception, internal hernia, by laparotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1606.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REEVA FT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4314", "description": "REEVA FT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD COMPR GARMNT NECK/HEAD CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6567", "description": "GRAD COMPR GARMNT NECK/HEAD CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1200.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42971", "description": "Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 703.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LM<=110M AT ANTICD19 CAR-P VIBL TC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2054", "description": "LM<=110M AT ANTICD19 CAR-P VIBL TC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 795652.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cartilage graft; nasal septum", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20912", "description": "Cartilage graft; nasal septum", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 769.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, long arm splint, adult (11 years +), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4017", "description": "Cast supplies, long arm splint, adult (11 years +), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lengthening of hamstring tendon; multiple tendons, 1 leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27394", "description": "Lengthening of hamstring tendon; multiple tendons, 1 leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1111.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77306", "description": "Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 137.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Multipositional patient support system, with integrated lift, patient accessible controls", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0636", "description": "Multipositional patient support system, with integrated lift, patient accessible controls", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1739.55, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1025.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0378T", "description": "VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating footrests, articulating (telescoping), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0053", "description": "Elevating footrests, articulating (telescoping), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1195", "description": "Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 268.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90460", "description": "IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PAIN MGMT MRNA GEN XPRSN 36", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0290U", "description": "PAIN MGMT MRNA GEN XPRSN 36", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL MULTLAYER CMPRN SYS LEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29581", "description": "APPL MULTLAYER CMPRN SYS LEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMV SK-MNT CRNL NSTM PG/RCVR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61892", "description": "RMV SK-MNT CRNL NSTM PG/RCVR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2069.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47556", "description": "Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 591.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25605", "description": "CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 987.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Necropsy (autopsy), gross and microscopic; without CNS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88020", "description": "Necropsy (autopsy), gross and microscopic; without CNS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 756.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic service(s) for the use of non-speech-generating device, including programming and modification", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92606", "description": "Therapeutic service(s) for the use of non-speech-generating device, including programming and modification", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 98.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0148", "description": "Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, fascial defect of leg", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27656", "description": "Repair, fascial defect of leg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 564.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOTEXT PATCH PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4247", "description": "AMNIOTEXT PATCH PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterocolon conduit, including intestine anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50815", "description": "Ureterocolon conduit, including intestine anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1914.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77049", "description": "MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 418.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2202", "description": "Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21436", "description": "Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3217.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2390", "description": "Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76948", "description": "Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 89.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCREENING HEP C DETECT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0567", "description": "SCREENING HEP C DETECT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62368", "description": "ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LEVOTHYROXINE NOS 10MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0650", "description": "INJ LEVOTHYROXINE NOS 10MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Facial nerve function studies (eg, electroneuronography)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92516", "description": "Facial nerve function studies (eg, electroneuronography)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Immunoassay for infectious agent antibody, quantitative, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86317", "description": "Immunoassay for infectious agent antibody, quantitative, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, foam propulsion tire, any size, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2218", "description": "Manual wheelchair accessory, foam propulsion tire, any size, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.92, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of slipped femoral epiphysis; osteotomy and internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27181", "description": "Open treatment of slipped femoral epiphysis; osteotomy and internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1854.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93316", "description": "Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 855.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pelvic belt/harness/boot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0944", "description": "Pelvic belt/harness/boot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.39, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPLC OI IMPLT SK TC ESP>=100", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69730", "description": "RPLC OI IMPLT SK TC ESP>=100", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1052.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43107", "description": "Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5031.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; without barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5072", "description": "Ostomy pouch, urinary; without barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ AMINOCAPROIC ACID 1 GRAM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0281", "description": "INJ AMINOCAPROIC ACID 1 GRAM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEOTHELIUM 4L+ PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4389", "description": "NEOTHELIUM 4L+ PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6247", "description": "Hydrogel dressing, wound cover, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50575", "description": "RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1082.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of perirenal or renal abscess, open", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50020", "description": "Drainage of perirenal or renal abscess, open", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1599.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0454", "description": "Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ CHLOROPROCAINE HYDROCHL PER 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2401", "description": "INJ CHLOROPROCAINE HYDROCHL PER 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 6786.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7340", "description": "Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 345.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88269", "description": "Chromosome analysis, in situ for amniotic fluid cells, count cells from 6-12 colonies, 1 karyotype, with banding", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, pasireotide long acting, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2502", "description": "Injection, pasireotide long acting, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 843.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28510", "description": "Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal contraction stress test", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59020", "description": "Fetal contraction stress test", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2038", "description": "Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEM VW FACTOR&CLGN III BNDG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0279U", "description": "HEM VW FACTOR&CLGN III BNDG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous balloon valvuloplasty; mitral valve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92987", "description": "Percutaneous balloon valvuloplasty; mitral valve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2183.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 196.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37241", "description": "VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 650.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG [any form]), utilizing maternal serum, algorithm reported as a risk score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81508", "description": "Fetal congenital abnormalities, biochemical assays of two proteins (PAPP-A, hCG [any form]), utilizing maternal serum, algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 81.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28300", "description": "Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1084.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15111", "description": "EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPN EXC/DSTR NTRA-ABD 5 CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49186", "description": "OPN EXC/DSTR NTRA-ABD 5 CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2206.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Craniectomy for craniosynostosis; multiple cranial sutures", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61552", "description": "Craniectomy for craniosynostosis; multiple cranial sutures", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2793.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of talotarsal joint dislocation; requiring anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28575", "description": "Closed treatment of talotarsal joint dislocation; requiring anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 612.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Push transfusion, blood, 2 years or younger", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36440", "description": "Push transfusion, blood, 2 years or younger", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ROMOSOZUMAB-AQQG 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3111", "description": "INJECTION ROMOSOZUMAB-AQQG 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0140U", "description": "NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 235.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG [any form], DIA), utilizing maternal serum, algorithm reported as a risk score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81509", "description": "Fetal congenital abnormalities, biochemical assays of three proteins (PAPP-A, hCG [any form], DIA), utilizing maternal serum, algorithm reported as a risk score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2231.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT STENT SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37259", "description": "REVSC EVASC IVT STENT SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 331.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33411", "description": "Replacement, aortic valve; with aortic annulus enlargement, noncoronary sinus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5681.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYP2D6 GENE ANALYSIS COMMON & SELECT RARE VRNTS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0070U", "description": "CYP2D6 GENE ANALYSIS COMMON & SELECT RARE VRNTS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1014.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11422", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PALINGEN DUAL LAYER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4354", "description": "PALINGEN DUAL LAYER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coagulation time; other methods", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85348", "description": "Coagulation time; other methods", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41825", "description": "Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 195.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, protein C concentrate, intravenous, human, 10 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2724", "description": "Injection, protein C concentrate, intravenous, human, 10 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76873", "description": "Ultrasound, transrectal; prostate volume study for brachytherapy treatment planning (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0164", "description": "PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11451", "description": "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 577.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27328", "description": "Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1064.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2225", "description": "Manual wheelchair accessory, caster wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45378", "description": "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72082", "description": "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 101.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2751.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54650", "description": "Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1131.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32653", "description": "Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1825.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Humidifier, nonheated, used with positive airway pressure device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0561", "description": "Humidifier, nonheated, used with positive airway pressure device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 131.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 275.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Postcoital direct, qualitative examinations of vaginal or cervical mucous", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0115", "description": "Postcoital direct, qualitative examinations of vaginal or cervical mucous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 44.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27558", "description": "Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1919.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SQSTRCTMY HUMRL HEAD SRG NCK", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23174", "description": "SQSTRCTMY HUMRL HEAD SRG NCK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1301.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81519", "description": "Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33955", "description": "ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1379.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ketorolac tromethamine, per 15 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1885", "description": "Injection, ketorolac tromethamine, per 15 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44386", "description": "Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 141.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24138", "description": "Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1185.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0655", "description": "Nonsegmental pneumatic appliance for use with pneumatic compressor, half arm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 208.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lower extremity; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73700", "description": "Computed tomography, lower extremity; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 149.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, sulfur hexafluoride lipid microspheres, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9950", "description": "Injection, sulfur hexafluoride lipid microspheres, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2509.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49185", "description": "SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 183.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portable oxygen contents, gaseous, 1 month's supply = 1 unit", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0443", "description": "Portable oxygen contents, gaseous, 1 month's supply = 1 unit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tacrolimus, immediate release, oral, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7507", "description": "Tacrolimus, immediate release, oral, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2370", "description": "Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.04, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1197.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPL/RPLCMT GSTR NSTIM ELTRD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43881", "description": "IMPL/RPLCMT GSTR NSTIM ELTRD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1536.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BPG SUBCLAVIAN-AXILLARY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35616", "description": "BPG SUBCLAVIAN-AXILLARY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1836.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RTM DEV SPLY RESP SYS 2-15 D", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98984", "description": "RTM DEV SPLY RESP SYS 2-15 D", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 93.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15832", "description": "Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1502.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27422", "description": "Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1253.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of mandibular fracture; without interdental fixation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21461", "description": "Open treatment of mandibular fracture; without interdental fixation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1717.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enteral nutrition infusion pump, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B9002", "description": "Enteral nutrition infusion pump, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.69, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "MS" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, complete;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56633", "description": "Vulvectomy, radical, complete;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2072.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYA/DER HYMOVS/HYMOVS 1 IA INJ 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7322", "description": "HYA/DER HYMOVS/HYMOVS 1 IA INJ 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96913", "description": "PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 301.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adhesive, liquid or equal, any type, per oz", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4364", "description": "Adhesive, liquid or equal, any type, per oz", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88140", "description": "Sex chromatin identification; peripheral blood smear, polymorphonuclear drumsticks", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PERMEADERM B PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A2016", "description": "PERMEADERM B PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPAIR RETINAL DETACHMENT SCLERAL BUCKLING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67107", "description": "REPAIR RETINAL DETACHMENT SCLERAL BUCKLING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1619.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sling operation for stress incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57288", "description": "Sling operation for stress incontinence (eg, fascia or synthetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2205", "description": "Manual wheelchair accessory, handrim without projections (includes ergonomic or contoured), any type, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50328", "description": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 310.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34831", "description": "Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arterial trauma, following unsuccessful endovascular repair; aorto-bi-iliac prosthesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3212.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11401", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0978", "description": "Wheelchair accessory, positioning belt/safety belt/pelvic strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of proximal tibiofibular joint dislocation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27830", "description": "Closed treatment of proximal tibiofibular joint dislocation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 646.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of parotid and submandibular salivary glands, bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64611", "description": "Chemodenervation of parotid and submandibular salivary glands, bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0852", "description": "Power wheelchair, group 3 very heavy-duty, sling/solid seat/back, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1957.41, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1514.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80410", "description": "Calcitonin stimulation panel (eg, calcium, pentagastrin) This panel must include the following: Calcitonin (82308 x 3)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 120.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21340", "description": "Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1161.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; unstable, screen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83068", "description": "Hemoglobin; unstable, screen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27725", "description": "Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2018.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62264", "description": "PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IAAD BLK AC WV BSNSR SARSCV2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0408U", "description": "IAAD BLK AC WV BSNSR SARSCV2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemolysins and agglutinins; auto, screen, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86940", "description": "Hemolysins and agglutinins; auto, screen, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53448", "description": "RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1993.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adenoidectomy, secondary; age 12 or over", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42836", "description": "Adenoidectomy, secondary; age 12 or over", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 392.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Psychiatric diagnostic evaluation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90791", "description": "Psychiatric diagnostic evaluation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRINC ILL NAV-PEER SUP ADD 30MN/MON", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0146", "description": "PRINC ILL NAV-PEER SUP ADD 30MN/MON", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT GLENHUMRL JT W/EXPL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23107", "description": "ARTHRT GLENHUMRL JT W/EXPL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1123.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21210", "description": "Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1209.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gamma globulin, intramuscular, 1 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1460", "description": "Injection, gamma globulin, intramuscular, 1 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4385", "description": "Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28310", "description": "Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 612.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87210", "description": "Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.73, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81250", "description": "G6PC (glucose-6-phosphatase, catalytic subunit) (eg, Glycogen storage disease, type 1a, von Gierke disease) gene analysis, common variants (eg, R83C, Q347X)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 87.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION LEFAMULIN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0691", "description": "INJECTION LEFAMULIN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Front caster assembly, complete, with solid tire, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0077", "description": "Front caster assembly, complete, with solid tire, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.12, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fracture frame, attachments for complex pelvic traction", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0947", "description": "Fracture frame, attachments for complex pelvic traction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1296.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62272", "description": "THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 157.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33507", "description": "Repair of anomalous (eg, intramural) aortic origin of coronary artery by unroofing or translocation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2926.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial laryngectomy (hemilaryngectomy); antero-latero-vertical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31382", "description": "Partial laryngectomy (hemilaryngectomy); antero-latero-vertical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3275.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69633", "description": "TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1669.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY VORICONAZOLE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80285", "description": "DRUG ASSAY VORICONAZOLE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21247", "description": "Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2497.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15115", "description": "EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/<", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1156.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45020", "description": "Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 986.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26070", "description": "Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 557.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43241", "description": "Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0610", "description": "Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 508.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27519", "description": "Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1457.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84591", "description": "Vitamin, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tracheostomy care kit for new tracheostomy", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4625", "description": "Tracheostomy care kit for new tracheostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43252", "description": "Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 261.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ceftriaxone sodium, per 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0696", "description": "Injection, ceftriaxone sodium, per 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.62, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90740", "description": "Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nephrectomy, including partial ureterectomy, any open approach including rib resection;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50220", "description": "Nephrectomy, including partial ureterectomy, any open approach including rib resection;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1705.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78582", "description": "Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 433.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92602", "description": "Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 91.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62324", "description": "NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cricopharyngeal myotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43030", "description": "Cricopharyngeal myotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 824.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Marsupialization of cyst or abscess of liver", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47300", "description": "Marsupialization of cyst or abscess of liver", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1953.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PESSARY REUSABLE RUB ANY TYPE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4561", "description": "PESSARY REUSABLE RUB ANY TYPE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of enterocele, abdominal approach (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57270", "description": "Repair of enterocele, abdominal approach (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1279.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81120", "description": "IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 289.88, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYGNUS SOLO PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4413", "description": "CYGNUS SOLO PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26645", "description": "Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 702.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Holster for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0498", "description": "Holster for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of trichiasis; epilation, by forceps only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67820", "description": "Correction of trichiasis; epilation, by forceps only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 32.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86971", "description": "Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; incubation with enzymes, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24363", "description": "Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2330.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Slitting of prepuce, dorsal or lateral (separate procedure); newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54000", "description": "Slitting of prepuce, dorsal or lateral (separate procedure); newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 184.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, gold sodium thiomalate, up to 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1600", "description": "Injection, gold sodium thiomalate, up to 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOLAB TRI WRAP FL PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4423", "description": "BIOLAB TRI WRAP FL PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEURO ASD MEAS 16 C METBLT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0263U", "description": "NEURO ASD MEAS 16 C METBLT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "COMPRE EP EVAL TX VT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93654", "description": "COMPRE EP EVAL TX VT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1557.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal or revision of sling for stress incontinence (eg, fascia or synthetic)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57287", "description": "Removal or revision of sling for stress incontinence (eg, fascia or synthetic)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20982", "description": "ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SGD ACCESSORY EMG SENSOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2513", "description": "SGD ACCESSORY EMG SENSOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6736.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Albumin; ischemia modified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82045", "description": "Albumin; ischemia modified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81310", "description": "NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, exon 12 variants", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 369.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15200", "description": "Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1073.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autologous blood or component, collection processing and storage; intra- or postoperative salvage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86891", "description": "Autologous blood or component, collection processing and storage; intra- or postoperative salvage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PAN TUM WHL GEN SEQ&OPT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0300U", "description": "ONC PAN TUM WHL GEN SEQ&OPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6274.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55812", "description": "Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2494.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "I D APPENDIX ABSCESS OPEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44900", "description": "I D APPENDIX ABSCESS OPEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1359.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of rectovaginal fistula; vaginal or transanal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57300", "description": "Closure of rectovaginal fistula; vaginal or transanal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1006.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urobilinogen, urine; semiquantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84583", "description": "Urobilinogen, urine; semiquantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11044", "description": "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 354.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58548", "description": "LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3111.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2220", "description": "Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLTX HUMRL SHFT FX W/O MNPJ", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24500", "description": "CLTX HUMRL SHFT FX W/O MNPJ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 624.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ligation; external carotid artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37600", "description": "Ligation; external carotid artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1176.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0954", "description": "Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 73.26, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VIA MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4309", "description": "VIA MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2500", "description": "Speech generating device, digitized speech, using prerecorded messages, less than or equal to 8 minutes recording time", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 626.96, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33946", "description": "Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 504.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DEMO /EVAL PT USE INHALER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94664", "description": "DEMO /EVAL PT USE INHALER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74300", "description": "Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal foreign body from external auditory canal; with general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69205", "description": "Removal foreign body from external auditory canal; with general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 154.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Autologous cultured chondrocytes, implant", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7330", "description": "Autologous cultured chondrocytes, implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45149.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0185", "description": "Gel or gel-like pressure pad for mattress, standard mattress length and width", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.22, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0002U", "description": "ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroxine; free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84439", "description": "Thyroxine; free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manometric studies through ureterostomy or indwelling ureteral catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50686", "description": "Manometric studies through ureterostomy or indwelling ureteral catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor, radial head or neck", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24152", "description": "Radical resection of tumor, radial head or neck", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2200.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transfer, finger to another position without microvascular anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26555", "description": "Transfer, finger to another position without microvascular anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2349.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52214", "description": "Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Construction of apical-aortic conduit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33404", "description": "Construction of apical-aortic conduit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3022.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77605", "description": "Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1663.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination; neck, soft tissue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70360", "description": "Radiologic examination; neck, soft tissue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD GREATER OCCIPITAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64405", "description": "INJECTION AA&/STRD GREATER OCCIPITAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12057", "description": "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 681.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "39401", "description": "Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 532.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure of single ventricular septal defect, with or without patch;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33681", "description": "Closure of single ventricular septal defect, with or without patch;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3182.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of penile plaque (Peyronie disease); with graft to 5 cm in length", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54111", "description": "Excision of penile plaque (Peyronie disease); with graft to 5 cm in length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1257.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC TPVT ATHRC SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37289", "description": "REVSC EVSC TPVT ATHRC SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 387.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85461", "description": "Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; rosette", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99243", "description": "OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 148.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of depressed frontal sinus fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21343", "description": "Open treatment of depressed frontal sinus fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1719.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99058", "description": "Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61797", "description": "Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 383.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (2 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4432", "description": "Ostomy pouch, urinary; for use on barrier with nonlocking flange, with faucet-type tap with valve (2 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93798", "description": "Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor IX (antihemophilic factor, purified, nonrecombinant) per IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7193", "description": "Factor IX (antihemophilic factor, purified, nonrecombinant) per IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TOFIDENCE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5133", "description": "INJ TOFIDENCE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "R & L HRT CATH WINJX HRT ART& L VENTR IMG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93460", "description": "R & L HRT CATH WINJX HRT ART& L VENTR IMG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1503.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2916", "description": "Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION COR ANI UP TO 40 UNITS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0802", "description": "INJECTION COR ANI UP TO 40 UNITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5053.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, urinary, for use on faceplate, heavy plastic, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4382", "description": "Ostomy pouch, urinary, for use on faceplate, heavy plastic, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, closed; with barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5051", "description": "Ostomy pouch, closed; with barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, thiamine HCl, 100 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3411", "description": "Injection, thiamine HCl, 100 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of carpometacarpal dislocation, thumb, with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26641", "description": "Closed treatment of carpometacarpal dislocation, thumb, with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 688.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antinuclear antibodies (ANA);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86038", "description": "Antinuclear antibodies (ANA);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9980", "description": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of shoulder dislocation, with manipulation; without anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23650", "description": "Closed treatment of shoulder dislocation, with manipulation; without anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 661.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81286", "description": "FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38570", "description": "Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 863.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 688.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20561", "description": "NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 33.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BX PRST8 TRCT US GUIDED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55707", "description": "BX PRST8 TRCT US GUIDED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 238.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arteriovenous anastomosis, open; by upper arm basilic vein transposition", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36819", "description": "Arteriovenous anastomosis, open; by upper arm basilic vein transposition", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1213.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrodesis; subtalar", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28725", "description": "Arthrodesis; subtalar", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1293.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83006", "description": "Growth stimulation expressed gene 2 (ST2, Interleukin 1 receptor like-1)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 113.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement diaphragm/faceplate for tracheostoma valve, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7502", "description": "Replacement diaphragm/faceplate for tracheostoma valve, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prothrombin time;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85610", "description": "Prothrombin time;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87073", "description": "Culture, bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration and/or injection, thyroid cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60300", "description": "Aspiration and/or injection, thyroid cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinalysis; qualitative or semiquantitative, except immunoassays", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81005", "description": "Urinalysis; qualitative or semiquantitative, except immunoassays", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PalinGen or ProMatrX, 0.36 mg per 0.25 cc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4174", "description": "PalinGen or ProMatrX, 0.36 mg per 0.25 cc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Filleted finger or toe flap, including preparation of recipient site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "14350", "description": "Filleted finger or toe flap, including preparation of recipient site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1066.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11640", "description": "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intrinsic factor", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83528", "description": "Intrinsic factor", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76826", "description": "Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode recording; follow-up or repeat study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0168", "description": "Commode chair, extra wide and/or heavy-duty, stationary or mobile, with or without arms, any type, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.67, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12042", "description": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 293.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombomodulin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85337", "description": "Thrombomodulin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL PHRNC NRV STIM SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33278", "description": "RMVL PHRNC NRV STIM SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 897.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7192", "description": "Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7326", "description": "Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 745.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ DECITABINE SUN PHARMA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0893", "description": "INJ DECITABINE SUN PHARMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96110", "description": "Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrument", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61001", "description": "Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, fosphenytoin, 50 mg phenytoin equivalent", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q2009", "description": "Injection, fosphenytoin, 50 mg phenytoin equivalent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44388", "description": "Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92601", "description": "Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, head or brain; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "70460", "description": "Computed tomography, head or brain; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28003", "description": "Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 397.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67227", "description": "Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction equipment, overdoor, cervical", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0860", "description": "Traction equipment, overdoor, cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION NICARDIPINE 0.1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2404", "description": "INJECTION NICARDIPINE 0.1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement soft interface material, dynamic adjustable extension/flexion device", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1820", "description": "Replacement soft interface material, dynamic adjustable extension/flexion device", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cranioplasty for skull defect; up to 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62140", "description": "Cranioplasty for skull defect; up to 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1821.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB US >/= 14 WKS ADDL FETUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76810", "description": "OB US >/= 14 WKS ADDL FETUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 74.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1028.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation of female urethra including suppository and/or instillation; initial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53660", "description": "Dilation of female urethra including suppository and/or instillation; initial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 65.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION BUMETANIDE 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1939", "description": "INJECTION BUMETANIDE 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63172", "description": "Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2646.23, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74470", "description": "Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DERMACELL DERMACELL AWM/POROUS P SC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4122", "description": "DERMACELL DERMACELL AWM/POROUS P SC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "30906", "description": "Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 212.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27331", "description": "Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 824.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AI DS SLE ALYS 8 IGG AUTOANT", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0312U", "description": "AI DS SLE ALYS 8 IGG AUTOANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2310", "description": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, over 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 170.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11620", "description": "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC PNCRTC 59 MTHLTN BLK MRK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0405U", "description": "ONC PNCRTC 59 MTHLTN BLK MRK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2655.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of a temporary prostatic urethral stent, including urethral measurement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53855", "description": "Insertion of a temporary prostatic urethral stent, including urethral measurement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 125.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "THRC FASCIAL PLN BLK UNI NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64466", "description": "THRC FASCIAL PLN BLK UNI NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 105.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99236", "description": "OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 323.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64590", "description": "Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 469.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Post-d/c care plan overs 30m", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2014", "description": "Post-d/c care plan overs 30m", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 127.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85397", "description": "Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97755", "description": "ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESW INTEG WND HLG 1ST WND", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0512T", "description": "ESW INTEG WND HLG 1ST WND", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 612.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0110", "description": "Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 124.35, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC IVT ANGIO CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37256", "description": "REVSC EVASC IVT ANGIO CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 894.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2628", "description": "Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, reclining", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66985", "description": "Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99359", "description": "Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 54.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26356", "description": "Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thrombolysis, cerebral, by intravenous infusion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37195", "description": "Thrombolysis, cerebral, by intravenous infusion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 693.87, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 286.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4959.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83701", "description": "Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43264", "description": "Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 549.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85380", "description": "Fibrin degradation products, D-dimer; ultrasensitive (eg, for evaluation for venous thromboembolism), qualitative or semiquantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Red cell survival study", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78130", "description": "Red cell survival study", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 186.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MSH6 GENE MRNA SEQUENCE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0160U", "description": "MSH6 GENE MRNA SEQUENCE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 424.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 654.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thyroid imaging (including vascular flow, when performed);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78013", "description": "Thyroid imaging (including vascular flow, when performed);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 267.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrointestinal endoscopic ultrasound, supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76975", "description": "Gastrointestinal endoscopic ultrasound, supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67027", "description": "Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1234.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA GU PTHGN SEMIQ DNA16&1", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0371U", "description": "IADNA GU PTHGN SEMIQ DNA16&1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28047", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1691.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 983.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CRANIAL ELECTROTH STM SYST ANY TYPE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0732", "description": "CRANIAL ELECTROTH STM SYST ANY TYPE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 72.47, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2792", "description": "Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 48.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72149", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD PST TQ 1NTRSPC LUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22630", "description": "ARTHRD PST TQ 1NTRSPC LUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2823.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62294", "description": "Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1802.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 459.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43644", "description": "Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2962.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REPRIZA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4143", "description": "REPRIZA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcutaneous electrical joint stimulation device system, includes all accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0762", "description": "Transcutaneous electrical joint stimulation device system, includes all accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.8, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS DNA&RNA 21 SARSCOV2", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0225U", "description": "NFCT DS DNA&RNA 21 SARSCOV2", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2226", "description": "Manual wheelchair accessory, caster fork, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, acetazolamide sodium, up to 500 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1120", "description": "Injection, acetazolamide sodium, up to 500 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Residual limb support system for wheelchair, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1020", "description": "Residual limb support system for wheelchair, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 229.29, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93564", "description": "NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 86.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tacrolimus", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80197", "description": "Tacrolimus", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0161", "description": "Sitz type bath or equipment, portable, used with or without commode, with faucet attachment(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BRF 20 MINS IH VST NEW PT PST DC", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G2001", "description": "BRF 20 MINS IH VST NEW PT PST DC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26117", "description": "Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1242.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44322", "description": "Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1788.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 331.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2222.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90958", "description": "ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 883.74, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vasopressin (antidiuretic hormone, ADH)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84588", "description": "Vasopressin (antidiuretic hormone, ADH)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Diagnostic bone marrow; aspiration(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38220", "description": "Diagnostic bone marrow; aspiration(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 94.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy pouch, drainable; without barrier attached (1 piece), each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5062", "description": "Ostomy pouch, drainable; without barrier attached (1 piece), each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pyloroplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43800", "description": "Pyloroplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1584.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 7162.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "16030", "description": "Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 220.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69660", "description": "Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1444.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87662", "description": "Infectious agent detection by nucleic acid (DNA or RNA); Zika virus, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 76.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastoidectomy; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69502", "description": "Mastoidectomy; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1482.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthrotomy, with synovectomy, knee; anterior OR posterior", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27334", "description": "Arthrotomy, with synovectomy, knee; anterior OR posterior", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "48152", "description": "PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4895.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0007U", "description": "RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of high imperforate anus without fistula; perineal or sacroperineal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46730", "description": "Repair of high imperforate anus without fistula; perineal or sacroperineal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3482.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Correction of lid retraction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67911", "description": "Correction of lid retraction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 825.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 915.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93990", "description": "Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 191.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81218", "description": "CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 362.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pad for water circulating heat unit, for replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0249", "description": "Pad for water circulating heat unit, for replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.89, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Liver and spleen imaging; with vascular flow", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78216", "description": "Liver and spleen imaging; with vascular flow", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 189.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC MRD NXT-GNRJ ALYS 1ST", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0306U", "description": "ONC MRD NXT-GNRJ ALYS 1ST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5817.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41250", "description": "Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 299.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4372", "description": "Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 8.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION CERTOLIZUMAB PEGOL 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0717", "description": "INJECTION CERTOLIZUMAB PEGOL 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter biopsy, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75970", "description": "Transcatheter biopsy, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 998.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Valproic acid (dipropylacetic acid); free", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80165", "description": "Valproic acid (dipropylacetic acid); free", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 20.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of peritoneal-venous shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49425", "description": "Insertion of peritoneal-venous shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1363.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tagraxofusp-erzs, 10 micrograms", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9269", "description": "Injection, tagraxofusp-erzs, 10 micrograms", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 505.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0111", "description": "Crutch, forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 108.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Blastomyces", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86612", "description": "Antibody; Blastomyces", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43360", "description": "GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3869.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 125.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for Peyronie disease;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54200", "description": "Injection procedure for Peyronie disease;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 146.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64876", "description": "Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0484", "description": "Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6564.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2608", "description": "Skin protection and positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 333.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastric suction pump, home model, portable or stationary, electric", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2000", "description": "Gastric suction pump, home model, portable or stationary, electric", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.43, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0105", "description": "Cane, quad or 3-prong, includes canes of all materials, adjustable or fixed, with tips", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 80.93, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2309", "description": "Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 167.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21012", "description": "Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 581.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of coccygeal fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27200", "description": "Closed treatment of coccygeal fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 359.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Animal inoculation, small animal, with observation and dissection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87003", "description": "Animal inoculation, small animal, with observation and dissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ ELRANATAMAB-BCMM 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1323", "description": "INJ ELRANATAMAB-BCMM 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 264.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TPRNL BALO CNTNC DEV ADJMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53454", "description": "TPRNL BALO CNTNC DEV ADJMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21073", "description": "Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 393.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Segmental pneumatic appliance for use with pneumatic compressor, trunk", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0656", "description": "Segmental pneumatic appliance for use with pneumatic compressor, trunk", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RVSC EVSC TPVT ST ATHR SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37293", "description": "RVSC EVSC TPVT ST ATHR SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of chalazion; multiple, different lids", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67805", "description": "Excision of chalazion; multiple, different lids", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 239.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ LNCSTUXMB TESIRIN-LPYL 0.075 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9359", "description": "INJ LNCSTUXMB TESIRIN-LPYL 0.075 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 313.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ PERQ VAD R HRT VENOUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33995", "description": "INSJ PERQ VAD R HRT VENOUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 566.58, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1932.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urea nitrogen; quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84520", "description": "Urea nitrogen; quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84112", "description": "EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93923", "description": "NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 201.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARCHITECT EXTRACELLULAR MATRIX PER", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4147", "description": "ARCHITECT EXTRACELLULAR MATRIX PER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urinary catheter anchoring device, leg strap, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4334", "description": "Urinary catheter anchoring device, leg strap, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, foot, complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20838", "description": "Replantation, foot, complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4485.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, elbow; 2 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73070", "description": "Radiologic examination, elbow; 2 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ IMP-CLSTATN 4 MG & RLEBCTM 2 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0742", "description": "INJ IMP-CLSTATN 4 MG & RLEBCTM 2 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computerized corneal topography, unilateral or bilateral, with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92025", "description": "Computerized corneal topography, unilateral or bilateral, with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99174", "description": "Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TYROSINEMIA TYP I MNTR QUAN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0383U", "description": "TYROSINEMIA TYP I MNTR QUAN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "pH; body fluid, not otherwise specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83986", "description": "pH; body fluid, not otherwise specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal femoral epiphyseal separation; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27516", "description": "Closed treatment of distal femoral epiphyseal separation; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 856.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 354.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69641", "description": "Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without ossicular chain reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1638.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GFAP CLEIA PLASMA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0548U", "description": "GFAP CLEIA PLASMA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 174.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closure postauricular fistula, mastoid (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69700", "description": "Closure postauricular fistula, mastoid (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1056.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Application of a modality to 1 or more areas; contrast baths, each 15 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97034", "description": "Application of a modality to 1 or more areas; contrast baths, each 15 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26135", "description": "Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34712", "description": "Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1083.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Venography, superior sagittal sinus, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75870", "description": "Venography, superior sagittal sinus, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 217.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G9982", "description": "Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 258.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 104.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiologic examination, knee; 3 views", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73562", "description": "Radiologic examination, knee; 3 views", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RMVL/BIVLV GAUNTLET BOOT/CST", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29700", "description": "RMVL/BIVLV GAUNTLET BOOT/CST", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "38765", "description": "Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2213.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, vertebral body, open; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20250", "description": "Biopsy, vertebral body, open; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bypass graft, with vein; common carotid-ipsilateral internal carotid", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35501", "description": "Bypass graft, with vein; common carotid-ipsilateral internal carotid", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2432.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20670", "description": "Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Elevating legrest, upper hanger bracket, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0047", "description": "Elevating legrest, upper hanger bracket, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.0, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LW NTSTY US STIMJ BONE HEALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20979", "description": "LW NTSTY US STIMJ BONE HEALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 45.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystectomy, complete; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51570", "description": "Cystectomy, complete; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2274.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Genioplasty; augmentation (autograft, allograft, prosthetic material)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21120", "description": "Genioplasty; augmentation (autograft, allograft, prosthetic material)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 871.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft, bone; mandible (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21215", "description": "Graft, bone; mandible (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1257.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NONPNEUM SEQ COMPRES GRMNT FULL LEG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0678", "description": "NONPNEUM SEQ COMPRES GRMNT FULL LEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.21, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2606", "description": "Positioning wheelchair seat cushion, width 22 in or greater, any depth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 60.14, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair incomplete circumcision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54163", "description": "Repair incomplete circumcision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 363.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVSC TPVT ATHRC CPLX 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37290", "description": "REVSC EVSC TPVT ATHRC CPLX 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1381.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR AA HRN 1ST 3-10 NCR/STRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49594", "description": "RPR AA HRN 1ST 3-10 NCR/STRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1250.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Creatine kinase (CK), (CPK); MB fraction only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82553", "description": "Creatine kinase (CK), (CPK); MB fraction only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0651", "description": "Pneumatic compressor, segmental home model without calibrated gradient pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1668.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of peritoneal-venous shunt", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49426", "description": "Revision of peritoneal-venous shunt", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1173.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87520", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, direct probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 46.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Toxoplasma", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86777", "description": "Antibody; Toxoplasma", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 21.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81471", "description": "X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, alemtuzumab, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0202", "description": "Injection, alemtuzumab, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3453.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43276", "description": "ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 726.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33782", "description": "Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5433.47, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93000", "description": "Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90867", "description": "Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and management", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Compressor, air power source for equipment which is not self-contained or cylinder driven", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0565", "description": "Compressor, air power source for equipment which is not self-contained or cylinder driven", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 78.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21230", "description": "Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1166.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; post glucose dose (includes glucose)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82950", "description": "Glucose; post glucose dose (includes glucose)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.13, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88369", "description": "M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 173.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15777", "description": "Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 325.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Radiopharmaceutical therapy, by intra-articular administration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "79440", "description": "Radiopharmaceutical therapy, by intra-articular administration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPTX PARTCLR FX /DSLC ELBW W", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24587", "description": "OPTX PARTCLR FX /DSLC ELBW W", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1795.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy, soft tissue of shoulder area; superficial", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23065", "description": "Biopsy, soft tissue of shoulder area; superficial", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49419", "description": "Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 708.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lung transplant, single; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32852", "description": "Lung transplant, single; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6048.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 354.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NYPOSI 1 MCG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5148", "description": "INJ NYPOSI 1 MCG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Iron", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83540", "description": "Iron", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 9.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64872", "description": "Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 179.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "56637", "description": "Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2590.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15730", "description": "Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1362.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0406", "description": "Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "73723", "description": "Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 504.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ethylene glycol", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82693", "description": "Ethylene glycol", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 22.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1046.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Haptoglobin; phenotypes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83012", "description": "Haptoglobin; phenotypes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Esophagogastric fundoplasty partial or complete; laparotomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43327", "description": "Esophagogastric fundoplasty partial or complete; laparotomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1445.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Dilation and catheterization of salivary duct, with or without injection", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42660", "description": "Dilation and catheterization of salivary duct, with or without injection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 123.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GE GNOTYP GYPC EXONS 1-4", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0188U", "description": "GE GNOTYP GYPC EXONS 1-4", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54901", "description": "Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1660.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADD PWR JOYSTICK", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0983", "description": "ADD PWR JOYSTICK", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 519.17, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44363", "description": "Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 294.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RARE DS ALYS 335 NUC GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0417U", "description": "RARE DS ALYS 335 NUC GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4263.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction forehead; contouring only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21137", "description": "Reduction forehead; contouring only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1221.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLSD TX PELVIC RING FX W/O MANIPULATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27197", "description": "CLSD TX PELVIC RING FX W/O MANIPULATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 221.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with foreign body removal;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31530", "description": "Laryngoscopy, direct, operative, with foreign body removal;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 304.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ SECUKINUMAB INTRAV 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3247", "description": "INJ SECUKINUMAB INTRAV 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64493", "description": "NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PTEN FULL GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0235U", "description": "PTEN FULL GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49406", "description": "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 286.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, includes laser capture microdissection", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0249U", "description": "Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, includes laser capture microdissection", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3328.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, leg, through tibia and fibula; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27884", "description": "Amputation, leg, through tibia and fibula; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 992.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57454", "description": "Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 211.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50545", "description": "Laparoscopy, surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue, removal of regional lymph nodes, and adrenalectomy)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2069.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACUTE HEPATITIS PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "80074", "description": "ACUTE HEPATITIS PANEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 71.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0692", "description": "Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 ft panel", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2412.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Caster pin lock, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0073", "description": "Caster pin lock, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 47.64, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62164", "description": "Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3900.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenotomy, lengthening, or release, abductor hallucis muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28240", "description": "Tenotomy, lengthening, or release, abductor hallucis muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 481.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67840", "description": "Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR HYPSPAD COMP DSJ & URTP", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54348", "description": "RPR HYPSPAD COMP DSJ & URTP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1584.59, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ VEDOLIZUMAB IV 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3380", "description": "INJ VEDOLIZUMAB IV 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB ADVRS VRNT ALYS 33", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0438U", "description": "RX METAB ADVRS VRNT ALYS 33", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 625.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0416", "description": "Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IADNA BRTNLA DDPCR FLWG LIQ", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0302U", "description": "IADNA BRTNLA DDPCR FLWG LIQ", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 542.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67221", "description": "Destruction of localized lesion of choroid (eg, choroidal neovascularization); photodynamic therapy (includes intravenous infusion)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "N-INVAS EAR/PLS OXIMETRY 1", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "94760", "description": "N-INVAS EAR/PLS OXIMETRY 1", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 7.49, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, droperidol, up to 5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1790", "description": "Injection, droperidol, up to 5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 10.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Evisceration of ocular contents; with implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65093", "description": "Evisceration of ocular contents; with implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cineradiography/videoradiography, except where specifically included", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76120", "description": "Cineradiography/videoradiography, except where specifically included", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 169.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of penile prosthesis; inflatable (self-contained)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54401", "description": "Insertion of penile prosthesis; inflatable (self-contained)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1081.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2601.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Blood count; hematocrit (Hct)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85014", "description": "Blood count; hematocrit (Hct)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Borrelia burgdorferi (Lyme disease)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86618", "description": "Antibody; Borrelia burgdorferi (Lyme disease)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL HOSPITAL CARE/DAY 30 MINUTES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99221", "description": "INITIAL HOSPITAL CARE/DAY 30 MINUTES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 129.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Plastic operation on penis for epispadias distal to external sphincter; with incontinence", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54385", "description": "Plastic operation on penis for epispadias distal to external sphincter; with incontinence", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1466.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enterocystoplasty, including intestinal anastomosis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51960", "description": "Enterocystoplasty, including intestinal anastomosis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2157.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Epididymectomy; bilateral", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "54861", "description": "Epididymectomy; bilateral", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 909.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GROUP CAREGIVER TRAINING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97552", "description": "GROUP CAREGIVER TRAINING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NFCT DS BV&VAGINITIS DNA ALG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81515", "description": "NFCT DS BV&VAGINITIS DNA ALG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 394.49, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMER AMNION AC TRI-LAY PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4305", "description": "AMER AMNION AC TRI-LAY PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION TOFERSEN 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1304", "description": "INJECTION TOFERSEN 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SCR DARK ADAPTATION MEAS I&R", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92288", "description": "SCR DARK ADAPTATION MEAS I&R", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 41.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmetacarpal amputation;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25927", "description": "Transmetacarpal amputation;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1506.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Detachable, adjustable height armrest, base, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0017", "description": "Detachable, adjustable height armrest, base, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 66.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37237", "description": "OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 342.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49324", "description": "Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 668.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 11301.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulorrhaphy, anterior, any type; with bone block", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23460", "description": "Capsulorrhaphy, anterior, any type; with bone block", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1797.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intubation, endotracheal, emergency procedure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31500", "description": "Intubation, endotracheal, emergency procedure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 234.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31293", "description": "NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1623.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81322", "description": "PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.9, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Scapulopexy (eg, Sprengels deformity or for paralysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23400", "description": "Scapulopexy (eg, Sprengels deformity or for paralysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1615.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26545", "description": "Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1262.15, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "B4216", "description": "Parenteral nutrition; additives (vitamins, trace elements, Heparin, electrolytes), home mix, per day", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SBSQ PSYC COLLAB CARE MGMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99493", "description": "SBSQ PSYC COLLAB CARE MGMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmyocardial laser revascularization, by thoracotomy; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33140", "description": "Transmyocardial laser revascularization, by thoracotomy; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2675.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4234", "description": "Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99460", "description": "Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 136.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transection or repositioning of aberrant renal vessels (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50100", "description": "Transection or repositioning of aberrant renal vessels (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1873.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Endometrial ablation, thermal, without hysteroscopic guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58353", "description": "Endometrial ablation, thermal, without hysteroscopic guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 361.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, knee, tibial plateau;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27440", "description": "Arthroplasty, knee, tibial plateau;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1339.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0107T", "description": "Quantitative sensory testing (QST), testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12044", "description": "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 335.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, anesthetic agent; sphenopalatine ganglion", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64505", "description": "Injection, anesthetic agent; sphenopalatine ganglion", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 178.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Percutaneous implantation of neurostimulator electrode array, epidural", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63650", "description": "Percutaneous implantation of neurostimulator electrode array, epidural", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureteroureterostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50760", "description": "Ureteroureterostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1820.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "41018", "description": "Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 660.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78804", "description": "RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 923.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q0139", "description": "Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52351", "description": "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 464.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1044.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of rectocele (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45560", "description": "Repair of rectocele (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1124.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2612", "description": "General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 51.98, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32659", "description": "Thoracoscopy, surgical; with creation of pericardial window or partial resection of pericardial sac for drainage", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1302.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15277", "description": "SUB GRFT F/S/N/H/F/G/M/D >/= 100SCM 1ST 100SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 351.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1951", "description": "Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SO GSAP DNA CPY NMBR&MCRSTL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81458", "description": "SO GSAP DNA CPY NMBR&MCRSTL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1569.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess, cyst, hematoma, vestibule of mouth; simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40800", "description": "Drainage of abscess, cyst, hematoma, vestibule of mouth; simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 204.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX METAB ADVRS RX RXN & RSPSE TRGT SEQ ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0029U", "description": "RX METAB ADVRS RX RXN & RSPSE TRGT SEQ ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1113.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36833", "description": "Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1345.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TEAM REMOTE E/M EST PT 10 MN", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0665", "description": "TEAM REMOTE E/M EST PT 10 MN", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 53.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Disarticulation of shoulder; secondary closure or scar revision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23921", "description": "Disarticulation of shoulder; secondary closure or scar revision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 824.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 534.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 230.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "60521", "description": "Thymectomy, partial or total; sternal split or transthoracic approach, without radical mediastinal dissection (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1967.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CYGNUS PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4170", "description": "CYGNUS PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 180.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cervical traction equipment not requiring additional stand or frame", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0855", "description": "Cervical traction equipment not requiring additional stand or frame", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.45, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of fracture of orbit, except blowout; without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21400", "description": "Closed treatment of fracture of orbit, except blowout; without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 308.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Neuroplasty, major peripheral nerve, arm or leg, open; other than specified", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64708", "description": "Neuroplasty, major peripheral nerve, arm or leg, open; other than specified", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 817.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Signal-averaged electrocardiography (SAECG), with or without ECG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93278", "description": "Signal-averaged electrocardiography (SAECG), with or without ECG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27256", "description": "Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; without anesthesia, without manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, phenytoin sodium, per 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1165", "description": "Injection, phenytoin sodium, per 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Conditioning play audiometry", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92582", "description": "Conditioning play audiometry", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 155.22, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PAIN MGMT 11 ENDOGENOUS ANAL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0117U", "description": "PAIN MGMT 11 ENDOGENOUS ANAL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1260.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5868.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Culture, typing; other methods", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87158", "description": "Culture, typing; other methods", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50327", "description": "Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 356.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, diphenhydramine HCl, up to 50 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1200", "description": "Injection, diphenhydramine HCl, up to 50 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.98, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV-1 AG W/HIV-1 & -2 AB AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87389", "description": "HIV-1 AG W/HIV-1 & -2 AB AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 112.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Biopsy external auditory canal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69105", "description": "Biopsy external auditory canal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 100.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acute venous thrombosis imaging, peptide", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78456", "description": "Acute venous thrombosis imaging, peptide", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 427.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transluminal dilation of aqueous outflow canal; with retention of device or stent", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "66175", "description": "Transluminal dilation of aqueous outflow canal; with retention of device or stent", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1073.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36907", "description": "TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 224.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION ACETAMINOPH 10 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0138", "description": "INJECTION ACETAMINOPH 10 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV DOP VEL /PRESS C FLO EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "93572", "description": "IV DOP VEL /PRESS C FLO EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 161.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42962", "description": "Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 806.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG ASSAY 120+ RX", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0328U", "description": "DRUG ASSAY 120+ RX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 171.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mechanical fragility, RBC, shear stress and spectral analysis profiling", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0123U", "description": "Mechanical fragility, RBC, shear stress and spectral analysis profiling", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 536.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Continent ileostomy (Kock procedure) (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44316", "description": "Continent ileostomy (Kock procedure) (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2424.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q9963", "description": "High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99385", "description": "INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 138.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0802", "description": "Power operated vehicle, group 1 very heavy-duty, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2773.23, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VW FACTOR TYPE 2B EVAL PLSM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0283U", "description": "VW FACTOR TYPE 2B EVAL PLSM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Clotting; prekallikrein assay (Fletcher factor assay)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85292", "description": "Clotting; prekallikrein assay (Fletcher factor assay)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 28.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33361", "description": "Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1963.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Antibody; Leptospira", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86720", "description": "Antibody; Leptospira", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 24.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ FOSAPREPITANT NOT THR J1453 1MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1456", "description": "INJ FOSAPREPITANT NOT THR J1453 1MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis C antibody screening for individual at high risk and other covered indication(s)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0472", "description": "Hepatitis C antibody screening for individual at high risk and other covered indication(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Aspiration and/or injection of ganglion cyst(s) any location", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20612", "description": "Aspiration and/or injection of ganglion cyst(s) any location", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 64.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC NEO XOME SEQ ALYS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0329U", "description": "ONC NEO XOME SEQ ALYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5156.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hemoglobin; sulfhemoglobin, quantitative", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83060", "description": "Hemoglobin; sulfhemoglobin, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 13.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2371.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADICAL RESCJ TUMOR PROX HUM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23220", "description": "RADICAL RESCJ TUMOR PROX HUM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3123.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision of total knee arthroplasty, with or without allograft; 1 component", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27486", "description": "Revision of total knee arthroplasty, with or without allograft; 1 component", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2290.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PIK3CA GENE ANALYSIS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0155U", "description": "PIK3CA GENE ANALYSIS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 412.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Capsulodesis, metacarpophalangeal joint; single digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26516", "description": "Capsulodesis, metacarpophalangeal joint; single digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1280.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81363", "description": "HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, hemoglobinopathy); duplication/deletion variant(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 303.6, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Osteopathic manipulative treatment (OMT); 7-8 body regions involved", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98928", "description": "Osteopathic manipulative treatment (OMT); 7-8 body regions involved", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99404", "description": "Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 140.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99281", "description": "EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HIV-1 AG IA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87390", "description": "HIV-1 AG IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 36.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "32655", "description": "Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1666.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42425", "description": "Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1285.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95721", "description": "EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 302.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, daunorubicin, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9150", "description": "Injection, daunorubicin, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ACESSO TRIFACA PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4386", "description": "ACESSO TRIFACA PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0482", "description": "DRUG TEST DEFINITV DR ID METH P DAY 15-21 DR CL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 298.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APPL CST ELBW FNGR SHORT ARM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29075", "description": "APPL CST ELBW FNGR SHORT ARM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.84, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OB US >/= 14 WKS SNGL FETUS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76805", "description": "OB US >/= 14 WKS SNGL FETUS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 159.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22868", "description": "INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 399.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of myelomeningocele; less than 5 cm diameter", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63704", "description": "Repair of myelomeningocele; less than 5 cm diameter", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3151.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fetal umbilical cord occlusion, including ultrasound guidance", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59072", "description": "Fetal umbilical cord occlusion, including ultrasound guidance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 864.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49435", "description": "Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "29846", "description": "Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 871.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31084", "description": "Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1911.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2342", "description": "Power wheelchair accessory, nonstandard seat frame depth, 20 or 21 in", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 95.76, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Face mask interface, replacement for full face mask, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A7031", "description": "Face mask interface, replacement for full face mask, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 62.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Breathing circuits", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4618", "description": "Breathing circuits", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.27, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44146", "description": "Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3512.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90746", "description": "Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 106.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tirofiban HCl, 0.25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J3246", "description": "Injection, tirofiban HCl, 0.25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1000.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Revision mastoidectomy; resulting in tympanoplasty", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69604", "description": "Revision mastoidectomy; resulting in tympanoplasty", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1739.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sphincteroplasty, anal, for incontinence or prolapse; child", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "46751", "description": "Sphincteroplasty, anal, for incontinence or prolapse; child", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1208.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1230", "description": "Power operated vehicle (3- or 4-wheel nonhighway), specify brand name and model number", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4835.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydroxyprogesterone, 17-d", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83498", "description": "Hydroxyprogesterone, 17-d", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99203", "description": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 122.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "88333", "description": "Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 55.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat lift mechanism, non-electric, any type", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0629", "description": "Seat lift mechanism, non-electric, any type", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 432.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6237", "description": "Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or fulguration; urethral caruncle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53265", "description": "Excision or fulguration; urethral caruncle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 299.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Splenoportography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "75810", "description": "Splenoportography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1090.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical; nephrectomy, including partial ureterectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50546", "description": "Laparoscopy, surgical; nephrectomy, including partial ureterectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1890.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Corpora cavernosography, radiological supervision and interpretation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74445", "description": "Corpora cavernosography, radiological supervision and interpretation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 97.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23472", "description": "Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2329.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81233", "description": "BTK (Bruton's tyrosine kinase) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, C481S, C481R, C481F", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 263.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AVLSN NAIL PLATE SIMPLE EACH", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11732", "description": "AVLSN NAIL PLATE SIMPLE EACH", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Induced abortion, by dilation and evacuation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59841", "description": "Induced abortion, by dilation and evacuation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 624.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RBC DNA GNOTYP 16 BLD GROUPS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0246U", "description": "RBC DNA GNOTYP 16 BLD GROUPS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1080.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "MCHNL SCLP COOL PREP PLMT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "97008", "description": "MCHNL SCLP COOL PREP PLMT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95125", "description": "PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 34.67, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99001", "description": "Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 19.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BIOLAB WRAP FLW LT PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4419", "description": "BIOLAB WRAP FLW LT PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RADIATION TX DELIVERY LVL 3", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77412", "description": "RADIATION TX DELIVERY LVL 3", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 793.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0129", "description": "Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 63.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0839", "description": "Power wheelchair, group 2 very heavy-duty, single power option sling/solid seat/back, patient weight capacity 451 to 600 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1148.37, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "11426", "description": "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 433.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tympanostomy (requiring insertion of ventilating tube), general anesthesia", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69436", "description": "Tympanostomy (requiring insertion of ventilating tube), general anesthesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31561", "description": "Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 505.37, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent antibody detection by enzyme immunoassay (EIA) technique, HIV-1 and/or HIV-2, screening", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0432", "description": "Infectious agent antibody detection by enzyme immunoassay (EIA) technique, HIV-1 and/or HIV-2, screening", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.36, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 196.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53515", "description": "Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1252.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VLCAD LEUK NZM ACTV WHL BLD", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0257U", "description": "VLCAD LEUK NZM ACTV WHL BLD", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1068.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "REVSC EVASC FPVT STENT SF EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37268", "description": "REVSC EVASC FPVT STENT SF EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 309.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HYDROPHILIC COAT INSERT SUP", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4297", "description": "HYDROPHILIC COAT INSERT SUP", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 14.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "90586", "description": "Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 232.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cardiopulmonary resuscitation (eg, in cardiac arrest)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92950", "description": "Cardiopulmonary resuscitation (eg, in cardiac arrest)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 294.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 4216.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography studies (EMG) of anal or urethral sphincter, any technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51785", "description": "Needle electromyography studies (EMG) of anal or urethral sphincter, any technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 534.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PROCTOSGMDSC RIGID ABLATION LESION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45320", "description": "PROCTOSGMDSC RIGID ABLATION LESION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAM FACTC/FRMT ARTHRD LUM EA", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63053", "description": "LAM FACTC/FRMT ARTHRD LUM EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 382.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ophthalmic ultrasound, diagnostic; quantitative A-scan only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76511", "description": "Ophthalmic ultrasound, diagnostic; quantitative A-scan only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 40.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, streptozocin, 1 g", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9320", "description": "Injection, streptozocin, 1 g", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 523.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 103202.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RF IGA&IGM CCP ANTB SR-A IA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0521U", "description": "RF IGA&IGM CCP ANTB SR-A IA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 77.7, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRADIENT PRES WRAP ADJ STRAP BRA EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6589", "description": "GRADIENT PRES WRAP ADJ STRAP BRA EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21347", "description": "Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1656.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2114", "description": "Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 166.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION AA&/STRD PUDENDAL NERVE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "64430", "description": "INJECTION AA&/STRD PUDENDAL NERVE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 84.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43762", "description": "Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Footrest, for use with commode chair, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0175", "description": "Footrest, for use with commode chair, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 88.59, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0076T", "description": "TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1227.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lysis of adhesions (salpingolysis, ovariolysis)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58740", "description": "Lysis of adhesions (salpingolysis, ovariolysis)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1478.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81430", "description": "HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2437.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AMNIOAMP-MP PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4250", "description": "AMNIOAMP-MP PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31643", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 259.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gastrotomy; with exploration or foreign body removal", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43500", "description": "Gastrotomy; with exploration or foreign body removal", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1371.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21502", "description": "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 928.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ketosteroids, 17- (17-KS); fractionation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83593", "description": "Ketosteroids, 17- (17-KS); fractionation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 42.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25440", "description": "Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1258.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0900", "description": "Traction stand, freestanding, pelvic traction (e.g., Buck's)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 50.19, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEPH CKD RSK HI STG KDN DS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0384U", "description": "NEPH CKD RSK HI STG KDN DS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1125.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 189.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCNST CNTRG B9 TUM CRNL XTRC", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21181", "description": "RCNST CNTRG B9 TUM CRNL XTRC", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1199.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, elbow; with implant and fascia lata ligament reconstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24362", "description": "Arthroplasty, elbow; with implant and fascia lata ligament reconstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1753.52, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "XCELL AMNIO MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4280", "description": "XCELL AMNIO MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Needle electromyography; 2 extremities with or without related paraspinal areas", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95861", "description": "Needle electromyography; 2 extremities with or without related paraspinal areas", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 144.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 64.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CLSD TX PELVIC RING FX W/MANIPULATION W/ANES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27198", "description": "CLSD TX PELVIC RING FX W/MANIPULATION W/ANES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 511.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bedside rails, full-length", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0310", "description": "Bedside rails, full-length", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "19306", "description": "Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2146.85, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 5298.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ASXL1 GENE ANALYSIS FULL GENE SEQUENCE", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81175", "description": "ASXL1 GENE ANALYSIS FULL GENE SEQUENCE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1060.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Removal of permanent pacemaker pulse generator only", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33233", "description": "Removal of permanent pacemaker pulse generator only", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 383.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33320", "description": "Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1853.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "40525", "description": "Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 881.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bone length studies (orthoroentgenogram, scanogram)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77073", "description": "Bone length studies (orthoroentgenogram, scanogram)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 59.91, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Palatoplasty for cleft palate; attachment pharyngeal flap", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42225", "description": "Palatoplasty for cleft palate; attachment pharyngeal flap", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1727.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Silica", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84285", "description": "Silica", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82803", "description": "Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78072", "description": "Parathyroid planar imaging (including subtraction, when performed); with tomographic (SPECT), and concurrently acquired computed tomography (CT) for anatomical localization", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 558.66, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ TYENNE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5135", "description": "INJ TYENNE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50690", "description": "Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.75, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision external ear; complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "69120", "description": "Excision external ear; complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 637.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GD CMP BDG CONF GZ P/LIN YD ANY W E", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6596", "description": "GD CMP BDG CONF GZ P/LIN YD ANY W E", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRD CMBN 1NTRSPC LUMBAR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22633", "description": "ARTHRD CMBN 1NTRSPC LUMBAR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3151.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputation, leg, through tibia and fibula; open, circular (guillotine)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27882", "description": "Amputation, leg, through tibia and fibula; open, circular (guillotine)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1005.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 111.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A5504", "description": "For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom molded shoe with wedge(s), per shoe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 68.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy administration into pleural cavity, requiring and including thoracentesis", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96440", "description": "Chemotherapy administration into pleural cavity, requiring and including thoracentesis", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 198.72, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RCM IMG ACQUISJ ONLY 1ST LES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96932", "description": "RCM IMG ACQUISJ ONLY 1ST LES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 218.96, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72156", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 379.88, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RX MNTR NZM IA 35+ORAL FLU", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0116U", "description": "RX MNTR NZM IA 35+ORAL FLU", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 370.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IV pole", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0776", "description": "IV pole", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 260.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0147", "description": "Walker, heavy-duty, multiple braking system, variable wheel resistance", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 739.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2391", "description": "Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 31.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Seat attachment, walker", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0156", "description": "Seat attachment, walker", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 27.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ NIVOLUMAB 2 MG HYALURONIDASE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9289", "description": "INJ NIVOLUMAB 2 MG HYALURONIDASE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 39.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ADJUST ANKLE FLEXION DEVICE", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1823", "description": "ADJUST ANKLE FLEXION DEVICE", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 248.3, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "61151", "description": "Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1883.63, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33920", "description": "Repair of pulmonary atresia with ventricular septal defect, by construction or replacement of conduit from right or left ventricle to pulmonary artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3083.78, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55875", "description": "Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1191.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 2673.51, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99202", "description": "Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 69.8, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, estrogen conjugated, per 25 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1410", "description": "Injection, estrogen conjugated, per 25 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 554.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "77610", "description": "Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1081.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "34702", "description": "EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2983.92, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Mattress, foam rubber", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0272", "description": "Mattress, foam rubber", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 255.6, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63303", "description": "VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4251.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty, interposition, intercarpal or carpometacarpal joints", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25447", "description": "Arthroplasty, interposition, intercarpal or carpometacarpal joints", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1328.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26725", "description": "Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 577.13, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72195", "description": "Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 287.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cough stimulating device, alternating positive and negative airway pressure", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0482", "description": "Cough stimulating device, alternating positive and negative airway pressure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 891.36, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q5106", "description": "Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.16, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31520", "description": "Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 237.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Accessory, arm trough, with or without hand support, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2209", "description": "Accessory, arm trough, with or without hand support, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 151.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "20805", "description": "Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5215.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22870", "description": "INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 172.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44615", "description": "Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1802.25, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, dexrazoxane HCl, per 250 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1190", "description": "Injection, dexrazoxane HCl, per 250 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 70.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pollicization of a digit", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26550", "description": "Pollicization of a digit", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2762.03, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tubing (oxygen), per foot", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4616", "description": "Tubing (oxygen), per foot", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 212.21, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Treatment of septic abortion, completed surgically", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "59830", "description": "Treatment of septic abortion, completed surgically", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 776.28, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95076", "description": "Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "50725", "description": "Ureterolysis for retrocaval ureter, with reanastomosis of upper urinary tract or vena cava", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1720.41, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, lumasiran, 0.5 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0224", "description": "Injection, lumasiran, 0.5 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 463.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Wheelchair accessory, tray, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0950", "description": "Wheelchair accessory, tray, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 99.38, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "UE" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J2545", "description": "Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 104.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "12036", "description": "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 486.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E1172", "description": "Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 209.46, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33208", "description": "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 826.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair blood vessel with vein graft; lower extremity", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "35256", "description": "Repair blood vessel with vein graft; lower extremity", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1689.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "99051", "description": "Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "LAMOT RPR ANULR DFCT 1 LMBR", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "63032", "description": "LAMOT RPR ANULR DFCT 1 LMBR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 253.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemodenervation of extraocular muscle", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "67345", "description": "Chemodenervation of extraocular muscle", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 339.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Water circulating heat pad with pump", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0217", "description": "Water circulating heat pad with pump", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 902.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0108T", "description": "Quantitative sensory testing (QST), testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 25.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "52250", "description": "Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 368.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Adm Tocilizu COVID-19 1st", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "M0249", "description": "Adm Tocilizu COVID-19 1st", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 778.95, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-VIDEO NEW MOD 45", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98002", "description": "SYNCH AUDIO-VIDEO NEW MOD 45", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Acute gastrointestinal blood loss imaging", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78278", "description": "Acute gastrointestinal blood loss imaging", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 466.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC CLRC CA 35 VRN KRAS&NRAS", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0471U", "description": "ONC CLRC CA 35 VRN KRAS&NRAS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1140.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of distal radioulnar dislocation with manipulation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25675", "description": "Closed treatment of distal radioulnar dislocation with manipulation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 880.65, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "HRV SKN CLL SSP AGRFT 1ST 25", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "15011", "description": "HRV SKN CLL SSP AGRFT 1ST 25", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 203.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hepatitis B surface antibody (HBsAb)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "86706", "description": "Hepatitis B surface antibody (HBsAb)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 16.11, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "26433", "description": "Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1013.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Helmet, protective, soft, prefabricated, includes all components and accessories", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A8000", "description": "Helmet, protective, soft, prefabricated, includes all components and accessories", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 327.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "OASIS BURN MATRIX PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4103", "description": "OASIS BURN MATRIX PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of atrial septal defect and ventricular septal defect, with direct or patch closure", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33647", "description": "Repair of atrial septal defect and ventricular septal defect, with direct or patch closure", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3093.09, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Orbicularis oculi (blink) reflex, by electrodiagnostic testing", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95933", "description": "Orbicularis oculi (blink) reflex, by electrodiagnostic testing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 96.24, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Portoenterostomy (eg, Kasai procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "47701", "description": "Portoenterostomy (eg, Kasai procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2964.69, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enucleation of eye; with implant, muscles not attached to implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65103", "description": "Enucleation of eye; with implant, muscles not attached to implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1360.94, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reconstruction of mandible or maxilla, subperiosteal implant; complete", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21246", "description": "Reconstruction of mandible or maxilla, subperiosteal implant; complete", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1351.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27485", "description": "Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1137.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6254", "description": "Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PRQ TRLUML REVSC CH OCC ANT", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92943", "description": "PRQ TRLUML REVSC CH OCC ANT", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1151.46, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0437T", "description": "IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 562.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4315", "description": "Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 56.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair, primary, torn ligament and/or capsule, knee; cruciate", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27407", "description": "Repair, primary, torn ligament and/or capsule, knee; cruciate", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1343.43, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, flexible; diagnostic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31575", "description": "Laryngoscopy, flexible; diagnostic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 107.61, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Hospital bed, variable height, hi-lo, without side rails, without mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0293", "description": "Hospital bed, variable height, hi-lo, without side rails, without mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 103.77, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0854", "description": "Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2663.84, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "AQMBF PET REST AND PHARMACOLOGIC STRESS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "78434", "description": "AQMBF PET REST AND PHARMACOLOGIC STRESS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 194.01, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "36216", "description": "Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 439.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ambulance service, basic life support, emergency transport (BLS, emergency)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A0429", "description": "Ambulance service, basic life support, emergency transport (BLS, emergency)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 788.76, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Fibrinolytic factors and inhibitors; plasmin", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "85400", "description": "Fibrinolytic factors and inhibitors; plasmin", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 11.57, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Closed treatment of sesamoid fracture", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "28530", "description": "Closed treatment of sesamoid fracture", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 181.32, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E2224", "description": "Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 164.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "APLIGRAF PER SQ CM", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4101", "description": "APLIGRAF PER SQ CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 226.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Limited Oral Evaluation-Problem Foc", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "D0140", "description": "Limited Oral Evaluation-Problem Foc", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 23.33, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "CANTHARIDIN TOP APPLICATOR", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J7354", "description": "CANTHARIDIN TOP APPLICATOR", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 943.97, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Enucleation of eye; without implant", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "65101", "description": "Enucleation of eye; without implant", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1325.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "37252", "description": "INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.55, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "Q4015", "description": "Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "84378", "description": "Sugars (mono-, di-, and oligosaccharides); single quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 17.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "43124", "description": "Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 6484.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31571", "description": "Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 371.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "SYNCH AUDIO-ONLY EST HIGH 40", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "98015", "description": "SYNCH AUDIO-ONLY EST HIGH 40", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 187.44, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "BABESIA MICROTI AMP PRB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87469", "description": "BABESIA MICROTI AMP PRB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 52.64, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RECONSTRUCTION COMPLEX CARDIAC ANOMALY", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33622", "description": "RECONSTRUCTION COMPLEX CARDIAC ANOMALY", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5770.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25446", "description": "Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1880.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "US PREG UTERUS 14 WK TRANSABDL EACH GESTATION", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76802", "description": "US PREG UTERUS 14 WK TRANSABDL EACH GESTATION", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.53, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ARTHRT GH JT EXPL/DRG/RMV FB", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "23040", "description": "ARTHRT GH JT EXPL/DRG/RMV FB", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1206.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Doppler velocimetry, fetal; umbilical artery", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "76820", "description": "Doppler velocimetry, fetal; umbilical artery", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 37.86, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "27495", "description": "Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1861.07, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Drainage of abscess; parotid, simple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "42300", "description": "Drainage of abscess; parotid, simple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 249.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72141", "description": "Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 219.3, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0038U", "description": "Vitamin D, 25 hydroxy D2 and D3, by LC-MS/MS, serum microsample, quantitative", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 44.4, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "45121", "description": "Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2984.12, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "22112", "description": "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2195.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "K0807", "description": "Power operated vehicle, group 2 heavy-duty, patient weight capacity 301 to 450 pounds", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 406.53, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "87526", "description": "Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G, amplified probe technique", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 58.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "81521", "description": "ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5809.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Glucose; quantitative, blood (except reagent strip)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82947", "description": "Glucose; quantitative, blood (except reagent strip)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 5.9, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "QW" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Visual reinforcement audiometry (VRA)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "92579", "description": "Visual reinforcement audiometry (VRA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 49.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "VEEG BY TECH 2-12 HR INTERMITTENT MONITORING", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95712", "description": "VEEG BY TECH 2-12 HR INTERMITTENT MONITORING", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 829.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "21296", "description": "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 652.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "96542", "description": "Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 61.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Supplies for maintenance of insulin infusion catheter, per week", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A4224", "description": "Supplies for maintenance of insulin infusion catheter, per week", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 38.81, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "EEG PHYS/QHP 2-12 HR WITH VEEG", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95718", "description": "EEG PHYS/QHP 2-12 HR WITH VEEG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 190.38, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "55530", "description": "Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 571.89, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "ONC SPHRD CELL CUL 11-RX PNL", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0525U", "description": "ONC SPHRD CELL CUL 11-RX PNL", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4550.79, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Functional status assessed (COA) (RA)", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "1170F", "description": "Functional status assessed (COA) (RA)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 15.0, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Air pressure mattress", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "E0186", "description": "Air pressure mattress", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.63, "expiration_date": "9999-12-31", "billing_class": "institutional", "billing_code_modifier": [ "RR" ] } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "PSYC GEN ALYS PANEL 14 GENES", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "0173U", "description": "PSYC GEN ALYS PANEL 14 GENES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 699.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJECTION DILTIAZEM HCL 0.5 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1163", "description": "INJECTION DILTIAZEM HCL 0.5 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.06, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Excision or fulguration; urethral polyp(s), distal urethra", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "53260", "description": "Excision or fulguration; urethral polyp(s), distal urethra", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 291.39, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Transmetacarpal amputation; re-amputation", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "25931", "description": "Transmetacarpal amputation; re-amputation", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1401.93, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass;", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33774", "description": "Repair of transposition of the great arteries, atrial baffle procedure (eg, Mustard or Senning type) with cardiopulmonary bypass;", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 3105.71, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "INJ POSACONAZOLE 1 MG", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1837", "description": "INJ POSACONAZOLE 1 MG", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.5, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Ileoscopy, through stoma; with biopsy, single or multiple", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "44382", "description": "Ileoscopy, through stoma; with biopsy, single or multiple", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 118.14, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "GRAD CMP ARM SLEEVE&GLV CMB CUST EA", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "A6574", "description": "GRAD CMP ARM SLEEVE&GLV CMB CUST EA", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 476.99, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Insertion of pacemaker pulse generator only; with existing dual leads", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33213", "description": "Insertion of pacemaker pulse generator only; with existing dual leads", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 550.08, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "31628", "description": "Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 272.34, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "57285", "description": "Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1089.45, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 1338.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58544", "description": "Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1423.05, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Lead", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "83655", "description": "Lead", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 18.17, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "G0407", "description": "Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 109.1, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, Patisiran, 0.1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J0222", "description": "Injection, Patisiran, 0.1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 142.77, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "17272", "description": "DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 176.04, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "72133", "description": "Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 247.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, tbo-filgrastim, 1 microgram", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J1447", "description": "Injection, tbo-filgrastim, 1 microgram", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 0.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Pulmonary artery embolectomy; with cardiopulmonary bypass", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "33910", "description": "Pulmonary artery embolectomy; with cardiopulmonary bypass", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 4461.35, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2103", "description": "Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 83.27, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Amino acids, 2 to 5 amino acids, quantitative, each specimen", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "82136", "description": "Amino acids, 2 to 5 amino acids, quantitative, each specimen", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 29.42, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "QUAN PUPLMTRY PHY/QHP UNI/BI", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95919", "description": "QUAN PUPLMTRY PHY/QHP UNI/BI", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 12.26, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95885", "description": "NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 82.2, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Nitric oxide expired gas determination", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "95012", "description": "Nitric oxide expired gas determination", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 35.48, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, atezolizumab, 10 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9022", "description": "Injection, atezolizumab, 10 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 133.02, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "62160", "description": "NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 329.54, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "58956", "description": "Bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 2268.29, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Tenodesis of biceps tendon at elbow (separate procedure)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "24340", "description": "Tenodesis of biceps tendon at elbow (separate procedure)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1045.56, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "74713", "description": "FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 199.31, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "V2303", "description": "Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 0.12 to 2.00d cylinder, per lens", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 147.83, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "51845", "description": "Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra)", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 926.82, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 361.73, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER", "billing_code_type": "CPT", "billing_code_type_version": "2026", "billing_code": "49496", "description": "RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 1088.18, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "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": 89.19, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] }, { "negotiation_arrangement": "ffs", "name": "Injection, mogamulizumab-kpkc, 1 mg", "billing_code_type": "HCPCS", "billing_code_type_version": "2026", "billing_code": "J9204", "description": "Injection, mogamulizumab-kpkc, 1 mg", "negotiated_rates": [ { "negotiated_prices": [ { "negotiated_type": "fee schedule", "negotiated_rate": 358.68, "expiration_date": "9999-12-31", "billing_class": "institutional" } ], "provider_references": [ 1696861026 ] } ] } ] }