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{"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":157.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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{"negotiation_arrangement":"ffs","name":"GD CMP STCK B KNEE 40MMHG OR<CST EA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6555","description":"GD CMP STCK B KNEE 40MMHG OR<CST EA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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{"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":16.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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{"negotiation_arrangement":"ffs","name":"Hospitalist services (list separately in addition to code for appropriate evaluation and management service)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0310","description":"Hospitalist services (list separately in addition to code for appropriate evaluation and management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of levonorgestrel-releasing intrauterine system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4981","description":"Insertion of levonorgestrel-releasing intrauterine system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":885.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":404.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":542.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOS 300 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOS 300 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Thawing of cryopreserved; sperm/semen, each aliquot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89353","description":"Thawing of cryopreserved; sperm/semen, each aliquot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":22.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":73.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"HOME INJ TX IMMUNOTHERAPY PER DIEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9563","description":"HOME INJ TX IMMUNOTHERAPY PER DIEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":50.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0506","description":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"INJ DIFELIKEFALIN 0.1 MICROGRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0879","description":"INJ DIFELIKEFALIN 0.1 MICROGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0092","description":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89291","description":"Biopsy, oocyte polar body or embryo blastomere, microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0092","description":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":7.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":11.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1502","description":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":14.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Holding chamber or spacer for use with an inhaler or nebulizer; with mask","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8101","description":"Holding chamber or spacer for use with an inhaler or nebulizer; with mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":46.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":39.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Assistive listening device, personal FM/DM system, monaural (1 receiver, transmitter, microphone), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5281","description":"Assistive listening device, personal FM/DM system, monaural (1 receiver, transmitter, microphone), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":194.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90702","description":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":31.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90702","description":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":82.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":37.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2295","description":"Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"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":382.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"Foster care, therapeutic, child; per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5146","description":"Foster care, therapeutic, child; per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
{"negotiation_arrangement":"ffs","name":"INJ AVSX-101-XIOI P-TX TO 5X10^15VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3399","description":"INJ AVSX-101-XIOI P-TX TO 5X10^15VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3259153.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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{"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":"percentage","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[799555136]}]},
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